Applicant Your Details Your Name (required) Date of Birth (required) Address One (required) Phone Number (required) City (required) e-mail address (required) Province (required) Passport number (required) Post Code (required) Where did you hear White Doves Funeral Plans?(required) —Please choose an option—FriendGoogleRadioNewspaperMailingSocial MediaOther Next of Kin Next of kin (required) Next of Kin Relationship (required) Next of kin telephone number (required) Family Details Mother's Christian name (required) Father's Christian name (required) Emergency Contact Details Emergency Contact Name (required) Emergency Contact Relationship (required) Emergency Contact Phone Number (required) YOUR DECLARATION I hereby agree to purchase a funeral plan from White Doves Funeral Planning as specified above. On purchasing my funeral plan, I accept that my personal details will be held for the purpose of administering the plan and will be shared with the relevant individuals and funeral directors in order that the plan can be enacted. White Doves is a trading style of Grupo MCortexx SL (Spain) and MCortexx Repatriations (Ireland).