Request a FREE Guide

Who would this plan be for?

Me My partner & I Somebody else Please select an option

Who would this plan be for?

Please select from the list who the Funeral Plan is for

Your Details:

Title

Mr Mrs Ms Miss Dr Other Please select an option

Title

Please select your title from the list of options.

First Name

This field is required

First Name

Please enter your first name

Surname

This field is required

Surname

Please enter your surname

Postcode

This field is required

Find Address

Postcode

Please enter your postcode and select the address from the list.

Telephone

This field is required

Telephone number

Please enter your desired contact number

Date of Birth (DD/MM/YYYY)

Date of Birth - Month Date of Birth - Year Please enter a date in DD/MM/YYYY format. You must be over 50

Date of Birth

Payment options on our plans vary by age. To allow us to offer you the payment options specifically available to you please provide us with your date of birth in the following format DD/MM/YYYY

Email address

Please enter a valid email address

Email

Please enter your desired email address

Planholders Date of Birth (DD/MM/YYYY)

Date of Birth - Month Date of Birth - Year The planholder must be aged 50 or over to be eligible for a funeral plan.

Date of Birth

Payment options on our plans vary by age. To allow us to offer you the payment options specifically available to you please provide us with their date of birth in the following format DD/MM/YYYY

Your Partners Date of Birth
(DD/MM/YYYY)

Date of Birth - Month Date of Birth - Year The planholder must be aged 50 or over to be eligible for a funeral plan

Date of Birth

Payment options on our plans vary by age. To allow us to offer you the payment options specifically available to you and your partner please provide us with their date of birth in the following format DD/MM/YYYY

How did you hear about us?

Search Engine Leaflet Letter Advert TV DignityFunerals Recommendation Other Please select an option

How did you hear about us?

Please select from the list if appropriate

We will process your personal information to provide you with a personalised guide and relevant information related to your enquiry.

We will also use this information for our legitimate business purposes as defined in our Privacy Policy. You have the right to object to this processing, if you would like to object please contact us using the details below.

We will never share your information with any third parties for marketing purposes.

You may wish to be informed about additional related services such as memorials, masonry, or legal services. Please let us know how you would like to receive information from Dignity:

You may change your mind at any time by calling us free on 0800 389 9277 or by email to privacy@dignityfunerals.co.uk.

"We" includes Dignity Plc and its trading subsidiaries.

Request Your Free Guide