Membership Application

Independent Funeral Group of America
A VGM Company

Membership Application

Funeral Home Name:
Contact:
Mailing Address:
City: State: Zip:
Phone: Fax:
Email Address: URL:

Number of Branches: Number of Employees:
Annual Casket Calls (Estimate):
Years in business:

Current Products Providers

Casket

Vault

Fluids/Prep Supplies

Printed Goods

Cremation Products

Vehicles

Other Merchandise

Approximate %