Federated Funeral Directors of America

NEW ACCOUNT SETUP

Your Name*
First
Firm Name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Fax*
Email*
Authorized Contact Person at Your Firm*
Name
Business Tax ID Number*
Type of Business*
- Corportation
- LLC
- Partnership
- Sole Proprietor
State Issued Funeral Establishment License Number*
please fax a photo copy of state issued license to 866.785.0030 or email to Accounts@CJF.com
Name of your Federated Representative
Preferred Method of Payment*
- Direct Wire Transfer ($15 wire fee) - Funds are wired to your bank for Immediate use
- ACH Deposit - Funds deposited for next business day credit. Holidays and weekends will delay receipt of funds.
Additional Information or Requests
Email
This field is for validation purposes and should be left unchanged.