Eulogy Intake Form

Step 1 — Choose your eulogy

Standard

$300

~600 words · 4–5 minutes spoken

A beautifully written, personal eulogy capturing the essence of your loved one's life and spirit.

Most Complete

Premium

$500

~1,200 words · 8–10 minutes spoken

A richly detailed, deeply personal tribute — stories, character, legacy — crafted for a lasting impression.

* All questions marked skip are optional. Answer only what feels right.

Your Information

Your Name required

Your Email required

Your Relationship to the Deceased required

Who Will Be Delivering the Eulogy? required

Me (I'm filling this out) Someone else

This helps us write in the right voice — first person "I knew him..." vs third person "She was..."

If someone else is delivering it, what is their name and relationship? skip

About the Deceased

Full Name of the Deceased required

Preferred Name or Nickname skip

Age at Passing required

Date of Passing skip

Place of Birth skip

Place Where They Lived Most of Their Life skip

Describe Them in Three Words required

Don't overthink it — your first instinct is usually the truest.

Their Life Story

What did they do for a living? skip

What were they most proud of in their career or life work? skip

Tell us about their family. Who did they love most?Premium skip

Where did they grow up and what shaped them?Premium skip

What milestones defined their life? skip

Did they have a faith or set of beliefs that guided them?Premium skip

Memories & Stories

Share a funny memory involving them required

Share a meaningful or emotional memory required

One story almost nobody knowsPremium skip

What's a memory of something you did together?Premium skip

Was there a moment they made you incredibly proud?Premium skip

Relationships & Impact

How did they make the people around them feel? required

Who were the most important people in their life?Premium skip

How did they show love? skip

What did they teach you — about life, love, or how to be a person?Premium skip

How will the world be different without them? skip

The Eulogy

What do you most want people to leave the service remembering about them? required

What would they say to the room today, if they could?Premium skip

Is there a quote, poem, song lyric, or passage that reminds you of them?Premium skip

What tone should the eulogy carry? required

Warm & celebratory Emotional & heartfelt Balance of both Light & humorous Dignified & reverent

Anything else we should know? skip

Once submitted, your responses will be sent to tribute@eulogycenter.com. We will contact you within 24 hours with your completed eulogy and payment details.

Any questions left blank will not be included in your submission.

Thank you.

Your information has been received.
We will craft a eulogy worthy of the life you've described
and reach out within 24 hours.

— Eulogy Center