Download an application in Microsoft Word (28 kb) or Adobe Acrobat (28 kb) or print the form out below through your Web browser.

Online Application

Funeral Consumers Alliance of Central Ohio welcomes you. Submit this form and FCACO will send membership materials for each person listed. Membership is complete when your Pre-Arrangement Form is filed with the funeral establishment. You are urged to do this promptly.

Enroll me/us in Funeral Consumers Alliance of Central Ohio and send planning forms, mortuary information and wallet cards; and add me/us to your newsletter list. [Note: We do not share our membership list outside of the FCA network.]

Please print
Name: __________________________________________

Address: ________________________________________

Phone: _________________ Email: __________________

2nd member,
if applicable
Name: __________________________________________

Address: ________________________________________

Phone: _________________ Email: __________________

Dependent children (to age 18) are included in a parent's membership. Please list each name and date of birth:

________________________________________________________________________________

Please send a gift membership to:
(Enclose $40 for each gift membership)

__________________________
__________________________
__________________________

Please mail a copy of the FCACO membership brochure to:

__________________________
__________________________
__________________________


If you would like to invite an FCACO speaker to make a presentation to your group or
organization, call us at 614-263-4632.

How did you find out about FCACO?

__________________________

IMPORTANT. Enclose $40 donation for each adult lifetime membership.