• 48271 Van Dyke Ave unit #2
    Shelby Township, MI 48317

    General Release Form

  • To Macomb County Cremation Services
  • Date Format: MM slash DD slash YYYY
  • **the the above signed represents that he/she has the right to make such authorization and agrees to hold the above-named entity and the MacombCoCremation, Gramer Funeral Home, Diener Chapel Inc. harmless from any liability on account of this authorization.By signing my name, I am agreeing to be bound by this authorization.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY