Coop Funeral Plan Brochure: Pre Plan Your Funeral Today

Title:

First name*:

Last name*:

Date of birth:

House name/number:

Address 1:

Address 2:

Address 3:

Post code:

Town*:

Landline phone number:

Mobile phone number:

Email*:

After we’ve sent you our funeral pre-paid plan brochure, how would you like us to contact you? Tick all that apply*:

Phone
Email
Text
Post
I will contact you if I require anything further

The information submitted here is used and stored for the purpose of processing your application, responding to your enquiry, passing on your comment (and anything else this form relates to). To view our privacy policy please click here.

We’d also love to send you money off coupons, exclusive member offers and updates from East of England Co-op.

How would you like us to contact you? Tick all that apply or leave blank if you do not wish to be contacted:

Phone
Email
Text
Post

We promise to treat your personal details with the utmost care and will never sell, distribute or lease your data to other companies to use for their own marketing purposes.

Are you currently an East of England Co-op Member?*:

Yes
No - please send me a joining form
No - I do not wish to be a member

Membership number:

How did you hear about us?:

Recommendation
Previously used East of England Co-op Funeral Services
Printed leaflet
Online
Live locally to a branch
Community event
News story
Attended a funeral
Google
TV
Radio
None of the above

reCAPTCHA*:

Request a pre-paid funeral plan brochure

In this section

East of England Co-op

Main Switchboard:

For general enquiries:

For membership and dividend enquiries:

For customer support :

For community funding enquiries: