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. Space is limited for free obituaries, and no photos can be included. To run an obituary using your own words or including specific personal information or a photo, call The Newberg Graphic at 503-538-2181 and ask about a paid obituary.
The deadline for obituaries is 8 a.m. Monday mornings, 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 necessary. If we are unable to verify the information we will be unable to publish the information.
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Name, age and town of residence of the deceased: |
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Gender: |
Male: Female: |
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Date of death: |
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Place and cause of death: |
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Date of birth: |
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Place of birth: |
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Parents' names (include mother's maiden name in parentheses): |
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Brief summary of schooling and early life of the deceased: |
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Date and place of any marriages and the name/maiden name of spouse(s). Iinclude dates of death or divorce, if so desired: |
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Brief summary of career, military service and other important events in the deceased person's life: |
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Any organizations, churches, civic groups, etc. to which the deceased belonged: |
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Survivors (immediate family only; no relatives by marriage). List hometown of each and indicate relationship to the deceased. Please note that grandchildren, great-grandchildren, nieces, etc. should be listed by number only, i.e., "13 grandchildren": |
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Those who preceded the deceased in death (immediate family only; no relatives by marriage). Indicate relationship to the deceased. Please note that grandchildren, great-grandchildren, nieces, etc. should be listed by number only, i.e., "13 grandchildren": |
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Date, time and place of services/viewing for the deceased. Indicate whether it is a funeral service, memorial service, celebration of life, etc. If services are private, please indicate: |
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Minister officiating: |
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Place of burial: |
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Name and phone number of the funeral home in charge: |
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Memorial contributions to: |
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Please provide a name and number of someone that we can contact to verify this information and/or questions if necessary. PLEASE NOTE: THIS IS A REQUIRED FIELD AND MUST BE FILLED IN FOR PUBLICATION.