Member Information

Becoming a Member of Missouri Cremation Services & Kansas Cremation Services is easy and FREE.  After filling out the information below and becoming a member, you will receive a confirmation email with all of the information you need to save $100's if not thousands on your package and receive your FREE final wishes organizer.  After completion of the membership form you will receive an email that will allow you to download your final wishes organizer.

All fields are required

How Many Memberships? (If you would like more than 2 please call us at 888-670-0802)

Member Information (person who will someday be cremated)

* First Name :
Middle Name :
* Last Name :
Maiden Name if Applicable :
* Sex :
Male Female
* Street Address :
* City :
* State (Out of state residents please call 888-670-0802) :
* Zip :
* Phone Number:
* Email Address :

Next of Kin/Beneficiary Information (person who is authorized to make cremation arrangements on behalf of the enrolled member)

* First Name :
Middle Name :
* Last Name :
* Relationship to Enrolled Member (spouse, daughter, brother, etc….) :
* Street Address :
* City :
* State (Out of state residents please call 888-670-0802) :
* Zip :
* Phone Number:
* Email Address :

Member #2 Information (person who will someday be cremated)

* First Name :
Middle Name :
* Last Name :
Maiden Name if Applicable :
* Sex :
Male Female
* Street Address :
* City :
* State (Out of state residents please call 888-670-0802) :
* Zip :
* Phone Number:
* Email Address :

Next of Kin/Beneficiary Information For Member #2 (person who is authorized to make cremation arrangements on behalf of the enrolled member)

* First Name :
Middle Name :
* Last Name :
* Relationship to Enrolled Member (spouse, daughter, brother, etc….) :
* Street Address :
* City :
* State (Out of state residents please call 888-670-0802) :
* Zip :
* Phone Number:
* Email Address :

Payment Information

* Name On Card :
  • * Card Number :
    * Exp Date :
    * Card Security Code:
    Additional Instructions or Questions (Optional) :