Obituary Submission Form

This form can be used to submit an obituary publication request for publication in The Newberg Graphic newspaper.

Information submitted here will be adapted to fit our form for free obituaries. To run an obituary using your own words or including specific personal information, call The Newberg Graphic at 503-538-2181 and ask about a paid obituary.

The deadline for obituaries is noon Monday for the Wednesday edition and noon Thursday for the Saturday edition, subject to change due to holidays or other circumstances. Obituaries submitted after the deadline with services scheduled before the next publication date may be printed as a small death notice, as space allows.

Please note: Each submittal must have a contact name and telephone number so we can verify the information before publication. If we are unable to verify the information we will be unable to publish the information.

Name, age and town of residence of the deceased:

Gender:

Male: Female:

Date of death:

Place and cause of death:

Date of birth:

Place of birth:

Parents' names (include mother's maiden name in parentheses):

Please supply a brief summary of schooling and early life of the deceased:

Please supply the date and place of the marriage and the spouse's name/maiden name:

Brief summary of career, military service and other important events in the deceased person's life:

List any organizations, churches, civic groups, etc. to which the deceased belonged:

Survivors (immediate family only). List hometown of each and indicate relationship to the deceased. Please note: List grandchildren, great-grandchildren, nieces, etc. by number only, i.e., "13 grandchildren."

Those who preceded the deceased in death (immediate family only). Indicate relationship to the deceased. Please note: List grandchildren, great-grandchildren, nieces, etc. by number only, i.e. "13 grandchildren."

Please supply the date, time and place of services/viewing for the deceased. If they are private, please indicate.

Minister officiating:

Place of burial:

Name and phone number of the funeral home in charge:

Memorial contributions to?

Contact Name:

E-mail Address:

Contact Phone:

Work Phone:

Please provide a name and number of someone that we can contact to verify this information and/or questions. PLEASE NOTE: THIS IS A REQUIRED FIELD AND MUST BE FILLED IN FOR PUBLICATION.

Pictures are welcome and can be e-mailed to anewman@newberggraphic.com or they can be dropped off or mailed with a copy of this form and a self-addressed return envelope to The Newberg Graphic, P.O. Box 700, 500 E. Hancock St., Newberg, OR 97132. If you have any questions, call The Newberg Graphic at 503-538-2181.