Cremations made simple
Enquiry 9381 7022
Registration Form
Full Name of Deceased (including any middle names)
Residential Address Post Code
Date of Death Sex Doctor
Place of Death
Does the Deceased have an Implant Containing a Battery e.g. Pacemaker?
Yes    No
Date of Birth Place of Birth
Aboriginal or Torres Strait Islander Origin
Period of Residence in Australia (if born overseas) Year of Arrival
Yrs
Occupation (Working Life)
Religion
Details of Marriages
 Never Married     Married     Divorced     Widowed
 Defacto
Place Date To Whom
1.
2.
3.
Children's Details
Given Names Only Date of Birth Sex Deceased
1. Yes    No
2. Yes    No
3. Yes    No
4. Yes    No
5. Yes    No
Parents of the Deceased
Father’s Given Names & Surname Occupation (Working Life)
Mother's Given Names & Maiden Surname Occupation (Working Life)
Which Cemetery
 Karrakatta     Fremantle     Pinnaroo     Other   
Full Name of Person Arranging the Funeral (Person Signing the Form)
Relationship to the Deceased
Address
Telephone Mobile Email
Minister / Celebrant
Contact Number Email
Our packages have no hidden fees and are inclusive of GST.
Simple Price-Wise Cremations
CALL US: 08 9381 7022

Barry from Nollamara


Simple Price-Wise Cremations have conducted two cremation services for my family.

On both occasions I found them to be professional, very courteous, efficient and caring.

They prepared and presented a lovely memorial pictorial presentation. I would have no hesitation in recommending SPW Cremations.