Existing Members: Add Household Members

When you join Everlasting Legacy, you earn the right to enroll up to four other family members (who live under the same roof as you) into the membership.

Household Members Form

Submit this form to enroll up to four family members that live in the same household as you.

Please enable JavaScript in your browser to complete this form.

Layout

First Name

Last Name

Layout

Member Number (On Membership Card):

Layout

City

State:

Household Membership

Please let us know how many family members will be assigned membership.

How many family members in your household will be enrolled?

Please let us know household membership details.

Layout

Checkboxes

I agree with the Terms and Conditions

Existing Members: Add Household Members

Submit this form to enroll up to four family members that live in the same household as you.

Household Membership

Monument Design request Form

Client / Cemetery Information (Please print legibly )