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First Name *

Last Name *

Personal Email *

Business Email *

Cell Phone *

Business Phone *

Job Title (Select all that apply) *

Funeral Director

Owner

Preneed Agent

Administrator

Business Details & Primary Member Identity Verification

Funeral Home Name

Address

Funeral Home Physical Address *

City *

State *

Postal code *

Mailing Address Same as Physical Address

Yes

No

Funeral Home Mailing Address

City

State

Postal Code

Funeral Home Website

A2P 10DLC Verification

A2P 10DLC (Application-to-Person 10-Digit Long Code) is a regulated messaging system in the United States that enables businesses to send SMS/text messages to customers using standard 10-digit phone numbers from their applications to their customers. To access this feature, businesses must complete identity verification.

Legal Business Name (as registered with the IRS)

EIN (Employment Identification Number)

Authorized Representative Full Name (as registered with IRS)

Email (as registered with IRS)

Phone Number (as registered with IRS)

Upload IRS Letter *

Web Developer Name *

Web Developer Email *

Web Developer Phone

What At-need software does your Funeral Home use? *

Does this funeral home have more than one location?

Yes

No

2nd Location Address with Name

2nd Location Phone

Add 3rd location

Yes

3rd Location Address with Name

3rd Location Phone

Add 4th location

Yes

4th Location Address with Name

4th Location Phone

How many people need to be onboard?

1

1
2
3
4
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1st User First Name

1st User Last Name

1st User Email

1st User Phone

2nd User First Name

2nd User Last Name

2nd User Email Name

2nd User Phone

3rd User First Name

3rd User Last Name

3rd User Email

3rd User Phone

4th User First Name

4th User Last Name

4th User Email

4th User Phone

Which Services Do Your Funeral Homes Provide?

Funeral / Cremation

Aquamation

Monuments & Memorials

Cemetery

Pet Cremations

Any Other (Add detail in Notes)

I am interested in...

CRM - Customer Relationship Management

AFTERCARE PROGRAM

Chat Widget

Mail Survey Campaigns

Mail Seminar Campaigns

Would you like to activate the chat bot feature on your funeral home’s website to assist visitors with common questions? Please let us know your preference:

Live Staff Response – A member of your team will receive and respond to incoming chat messages directly.

AI Bot Response – An automated AI assistant will respond to customer inquiries on your behalf.

Funeral Home Logo

Note

Message Opt-In

I agree to TWG’s Terms & Conditions and consent to receive SMS and email messages from The Witt Group. I understand message & data rates may apply, and I can opt out at any time by replying STOP.

Please schedule your Onboarding Call after submitting the form. Once you’ve submitted it, you’ll be automatically redirected to the calendar. Thank you.

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Address

315 Mountain Summit Rd.

Traveleres Rest, SC 29690

Phone

304-633-1040

Email

[email protected]

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Address

315 Mountain Summit Rd.

Traveleres Rest, SC 29690

Phone

304-633-1040

Email

[email protected]

Connect

Facebook

LinkedIn

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