Funeral Consumer Alliance of Connecticut

Application AND PAMPHLETS

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Print this page, complete, and mail to:

            Funeral Consumer Alliance of Connecticut Inc.  [FCA of CT Inc.]

            P.O. Box 34, Bridgewater, CT 06752

Dear FCA of CT:

    Yes. I want to become a lifetime member.          Enclosed is:

                            ____ $    35.00 for single individual

                            ____ $    50.00 for family (spouses/partners, minor & elderly dependents)

                            ____ $      5.00 for transfers from other Affiliates

                            ____ $      7.00 for any additional "Before I Go" packets (1st packet is free).

                                     $ ______ Tax deductible contribution

                                        ______ Total enclosed         [Make check payable to: "FCA of CT Inc."]

_________________________________________________________________________

Name(s) (please print clearly)

_________________________________________________________________________

Address

_________________________________________________________________________

Phone number                                                                     E-mail address

_________________________________________________________________________

Name(s) and birthdate(s) of dependents (family membership only)

_________________________________________________________________________

Signature(s) and date

In addition to the free "Before I Go" packet, please send the materials checked below.

PAMPHLETS AND FLIERS:

____ A Guide to Funeral Planning   
____ Body Donation
____ Common Funeral Myths
____ Cremation Explained      

____ Dead Lines, Obituaries, and Death Notices
____ Death Away from Home   
____ Death in One State, Burial in Another 
____ Did You Forget? 
____ Directory of Societies   
____ Earth Burial 
____ Eco Friendly Death and Choices   
____ Four Step Funeral Planning

____ Going Green

____ How to File a Funeral or Cemetery Complaint
____ How to Help Grieving People    
____ Light, Like the Sun (on Cremation)
____ Lay me to Rest in a Plain Pine Box 
____ No One Wants to Talk about Death
____ Organ Donation
____ Prepaying Your Funeral
____ Recycle Your Medical Devices
____ "Simple and Cheap" (our article)
____ Ten Tips for Saving Funeral $$$
____ 12 Reasons People Spend Too Much
____ Understanding Funeral Trade Tricks
____ Veterans’ Benefits
____ Viewing and Visitation
____ What to do with the Ashes?
____ What to know on Embalming


FORMS:
____ Connecticut Advanced Directives for Health care: Explanation, Living Will,
         Attorney in Fact for Health care, Witness Form.

Body Donation information and forms: (pick one)

____ Yale University Medical School Body Donation information and forms

____ U. of Connecticut Farmington Body Donation information and forms

Organ/Tissue Donation information and forms: (pick one)

 ____ Yale University Medical School Organ/Tissue Donation information and form

 ____ U. of Connecticut Medical School Organ/Tissue Donation information and form

Most Recent Price Survey: Results and Notes for three towns / cities.
[1] ___________________ [2] ___________________ [3] ___________________
 

____ Short list of less costly cremation establishments around the state
____ Short list of less costly direct burial establishments around the state

____ Additional "Before I Go, You Should Know" checklist packets:

        (one packet comes free with membership, additional packets are $7 each, with member discount):

And, to help FCA in the year ahead:
Please send me _____ Membership Brochures to distribute to friends
 

I wish to contribute to FCA, Enclosed is an additional $_________
I want to volunteer:
____ Board of Trustees ____ Information & Workshops  ____ Newsletter Committee
____ Monitoring Legislation & Funeral Board Committee ____ Price Survey Committee
 

[ Home ]                     For more information, contact:

                    Funeral Consumer Alliance of Connecticut Inc. [FCA of CT Inc.]

                            P.O. Box 34, Bridgewater, CT 06752

                            (800) 607-2801         (860) 355-4197

                                        FCAofCT@aol.com