Pay It Forward Aftermath Referral Program

The Pay It Forward Aftermath Referral Program (ARP) is our way of showing appreciation to partners who provide our information to families in a time of need. The program is designed for us to support the families and communities in which we both serve.

For each family that signs for Aftermath’s services, we will donate funds to a charity of your choice. Alternatively, you can also elect to have your contribution be donated to the Aftermath Funeral Directors Scholarship Fund. The Aftermath Funeral Directors Scholarship is a need-based scholarship for students who are currently enrolled or will be enrolled in a mortuary program.

PROGRAM PARTICIPATION

1. Name: *This question is required.

2. Company: *This question is required.

3. Address: *This question is required.

Street:
City:
State:
Zip Code:

4. Email: *This question is required. This question requires a valid email address.

5. Phone Number: *This question is required.

6. Select where you would like to Pay It Forward: *This question is required.

7. Name of charity (if applicable)

ACKNOWLEDGEMENT

8. Signature: *This question is required.

Clear

Signature of

9. Title:

10. Date: *This question is required. This question requires a valid date format of MM/DD/YYYY.

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11. Aftermath Representative Name: *This question is required.

We will periodically email you to provide an update on how much has been contributed to your charity or scholarship fund. You will also receive an annual report laying out who the scholarship helped and which mortuary school they are attending.