Airline Reservation Request Form - Human Remains

Available 24/7

Eagle's Wings Air offers an online reservation request option for human remains, which allows you to submit ship-out details at your convenience. We'll handle the details and send you a confirmation of the flight itinerary via fax or e-mail.

Requests submitted outside of our published hours will be confirmed the next business day.

To make a request for an airline reservation, please complete the form below and click the "SUBMIT" button.

NOTE: Fields marked with an asterisk ( * ) are required. Any information you submit will be held in the strictest confidence - we do not release any information to outside parties under any circumstances.


*Your Name:
*Your Phone #:
 
*Planned Shipping Date:
*Expected Drop Off Time:
 
*Name of Deceased:
*Origin Airport:
(City & State)
*Destination Airport:
(City & State)


Air Container Type (Choose One): New Combo Unit New Air Tray
Estimated Weight (Choose One): Less than 299 lbs 300-499 lbs +500 lbs
Is the Body Embalmed?: YES NO
Will Dry ice be used?: YES NO If Dry Ice Will be Used, How Much?: lbs
Will Gel Packs be used?: YES NO  


Shipper


*Firm Name:
*Street Address:
*City:
*State:
*Zip:
Country (If outside U.S.A.):
*Phone #:
*Fax #:
*Contact Name:
Email Address:


Receiving Funeral Home


*Firm Name:
*Street Address:
*City:
*State:
*Zip:
Country (If outside U.S.A.):
*Phone #:
*Fax #:
*Contact Name:
Email Address:


Payment Method


Invoice Receiving Funeral Home
Invoice Shipper


Additional Details


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