Contact the Bagpiper
Thank you for your consideration!
Roger A. Fuchs
Bagpiper
Cell/txt: 812-449-1372
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Please fill in all fields marked with an
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Date of event:
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Time of event:
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Type of event:
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Location(City/St):
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Contact Name:
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Contact Phone #:
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(xxx-xxx-xxxx)
Contact Email:
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If a funeral
Please provide what information you can
Name of deceased:
Funeral home or Other:
Funeral home or Other Address:
Funeral home or Other contact:
Funeral home or Other Phone #:
(xxx-xxx-xxxx)
Grave Side:
(Yes or No)
Yes
No
Time: of service:
If Grave side, Estimated Drive time to cemetery:
Comments: