HOMEWARD BOUND AERIAL SERVICES

AERIAL ASH SCATTERING AUTHORIZATION FORM

 

Information of deceased (please print)

 

Name:   _______________________________ Title:  ______________________

 

Date of Birth: __________________________      Date of passing: _____________

 

Military (include copy of DD214 form or discharge papers):___________________

(For 10% military discount)

 

Preferred Date of Dispersion: ____________________HomeAirport __________

 

Location:  (GPS co-ordinates if available)_________________________________

Because we have a strict chain of custody, cremains are to be shipped via registered mail with return receipt requested.   As per the USPS code 462.2,   “CREMAINS should be marked on the address side and they need to be packaged in a sift-proof container or in other containers that are sealed in durable sift-proof outer containers” and mailed to 21355 East Fremont Place, Centennial, CO 80016.  Homeward Bound Aerial Services is not responsible for postal expenses.  

WITH THE CREMAINS, PLEASE INCLUDE A COPY OF THE DEATH CERTIFICATE,
THIS AUTHORIZATION FORM AND A BANK CERTIFIED CHECK IN THE AMOUNT DUE.

Once we are in receipt of the above, we will make arrangements for the scattering.

Aerial cremains scattering is final and irrevocable.

I grant Homeward Bound Aerial Services, its representatives and employees the right to use all photos and videos produced, as a result of the ash scattering service they performed.  I authorize Homeward Bound Aerial Services, its assigns and transferees to copyright, use and publish the same in print and/or electronically.

I agree that Homeward Bound Aerial Services may use such photographs and videos related to the ash scattering with or without my or family member’s names and for any lawful purpose, including for example such purposes as publicity, illustration, advertising and Web content.

Certificates, DVD and photos will be sent to custodian unless additional addresses are provided.   The custodian will be contacted to finalize scattering details.

Homeward Bound Aerial Services is dedicated to the satisfaction of our customers.   Flight dates or times may change due to adverse weather conditions as determined by our pilots.   Such delays will be communicated to the custodian.   Homeward Bound Aerial Services agrees to re-schedule the scattering to the earliest agreed upon date.

Homeward Bound Aerial Services will attempt to identify the party on the ground.    If, within 15 minutes of scheduled scattering time we have not identified the party, we will commence scattering at the pre-arranged GPS co-ordinates.

By signing this form, you agree to all of the above conditions.

 

Custodian information:

 

Signature:__________________________  Date: _____________________

 

Print Name:       _______________________Relationship:________________

 

Street Address:   ________________________________________________

 

City:     ______________________________State:_______Zip:___________

 

Phone: ____________________   e-Mail (optional) ___________________

 

 

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