funeralbooking.ie Open in urlscan Pro
52.16.104.128  Public Scan

Form analysis
2 forms found in the DOM

<form class="section-md parent-border-bottom" id="email_and_address">
  <div class="row">
    <div class="mb-1 col-8 form-centered-col">
      <label for="email_input" class="form-label">Email address</label>
      <input type="email" class="form-control" id="email_input" placeholder="name@example.com">
    </div>
  </div>
  <input type="hidden" name="selectedOption" id="selectedOption">
  <div class="row">
    <div class="mb-1 col-8 form-centered-col">
      <label for="autocomplete" class="form-label">Address</label>
      <input id="autocomplete" class="form-control pac-target-input" placeholder="Enter your location" type="text" onfocus="geolocate()" autocomplete="off">
    </div>
  </div>
</form>

Name: funeral_form —

<form class="section-md parent-border-bottom" id="funeral_form" name="funeral_form">
  <div class="row">
    <div class=" col-8 form-centered-col">
      <label for="home_options" class="form-label ">Funeral Homes Nearby:</label>
      <select class="form-select" id="home_options">
        <option data-bs-toggle="tooltip" data-bs-placement="right" data-bs-html="true" title="" selected="" data-bs-original-title="<img src='path/to/image.jpg' alt='Tooltip Image'>">Basic coffin</option>
        <option value="1">Standard coffin</option>
        <option value="2">Premium coffin</option>
      </select>
    </div>
  </div>
  <!-- Burial or cremation  -->
  <div class="row">
    <div class=" col-8 form-centered-col">
      <label for="funeral_type" class="form-label ">Would you like a Burial or Cremation?</label>
      <select class="form-select" id="funeral_type">
        <option value="burial" selected="" id="Burial">Burial</option>
        <option value="cremation" id="Cremation">Cremation</option>
      </select>
    </div>
  </div>
  <!-- religion  -->
  <div class="row">
    <div class=" col-8 form-centered-col radio">
      <label for="funeral_types">What type of funeral do you prefer?</label><br>
      <div class="ps-3" id="funeral_types">
        <input type="radio" id="catholic" name="religion" value="catholic">
        <label for="yes">Catholic</label><br>
        <input type="radio" id="humanist" name="religion" value="humanist">
        <label for="no">Humanist</label><br>
      </div>
    </div>
  </div>
  <!-- Funeral Date -->
  <div class="row">
    <div class=" col-8 form-centered-col">
      <label for="funeral_date">Date of the funeral</label>
      <input type="date" class="form-control" id="funeral_date">
    </div>
  </div>
  <!-- Service location  -->
  <div class="row">
    <div class=" col-8 form-centered-col radio">
      <label>Where would you like to hold the service?</label><br>
      <div class="ps-3">
        <input type="radio" id="church" name="agreement" value="church">
        <label for="church">At a Church</label><br>
        <input type="radio" id="crematorium" name="agreement" value="crematorium">
        <label for="crematorium">At a Crematorium</label><br>
        <input type="radio" id="funeral_home" name="agreement" value="funeral_home">
        <label for="funeral_home">At the Funeral Home</label><br>
        <input type="radio" id="home" name="agreement" value="home">
        <label for="home">At Home</label><br>
      </div>
    </div>
  </div>
  <!-- Wake Location -->
  <div class="row">
    <div class=" col-8 form-centered-col radio">
      <label>Where will you hold the Wake?</label>
      <div class="ps-3">
        <input type="radio" id="wake_home" name="wake" value="home">
        <label for="wake_home">At Home</label><br>
        <input type="radio" id="wake_funeral_home" name="wake" value="funeral_home">
        <label for="wake_funeral_home">At the Funeral Home</label>
      </div>
    </div>
  </div>
  <!-- Remains location -->
  <div class="row">
    <div class=" col-8 form-centered-col">
      <label for="remains" class="form-label">Where are the remains?</label>
      <textarea class="form-control" id="remains" rows="2"></textarea>
      <div class="form-text">Please be specific</div>
    </div>
  </div>
  <!-- Removal Section -->
  <div class="row">
    <div class=" col-8 form-centered-col radio">
      <label>Removal on the day before or on the day of the funeral</label>
      <div class="ps-3">
        <input type="radio" id="removal_day_before" name="removal_day" value="day_before">
        <label for="removal_day_before">Day before</label><br>
        <input type="radio" id="removal_day_of" name="removal_day" value="day_of">
        <label for="removal_day_of">Day of</label>
      </div>
      <div class="form-text">Removal cost - Provision of our hearse and staff for the removal of remains to a Church and on to cemetery of choice</div>
    </div>
  </div>
  <!-- Embalming Section -->
  <div class="row">
    <div class=" col-8 form-centered-col radio">
      <label>Do you want us to collect, embalm, and dress the remains?</label>
      <div class="ps-3">
        <input type="radio" id="embalm_yes" name="embalm" value="yes">
        <label for="embalm_yes">Yes</label><br>
        <input type="radio" id="embalm_no" name="embalm" value="no">
        <label for="embalm_no">No</label>
      </div>
      <div class="form-text">Charge - 550</div>
      <div class="form-text">Please prepare the clothes that you want the deceased to wear during the funeral</div>
    </div>
  </div>
  <!-- Coffin Selection -->
  <div class="row">
    <div class=" col-8 form-centered-col">
      <label for="coffin" class="form-label ">Coffin:</label>
      <select class="form-select" id="coffin">
        <option selected="">Basic coffin</option>
        <option value="1">Standard coffin</option>
        <option value="2">Premium coffin</option>
      </select>
    </div>
  </div>
  <!-- Family Carry Coffin -->
  <div class="row">
    <div class=" col-8 form-centered-col radio">
      <label>Will the family carry the coffin at the funeral?</label>
      <div class="ps-3">
        <input type="radio" id="carry_yes" name="carry" value="yes">
        <label for="carry_yes">Yes</label><br>
        <input type="radio" id="carry_no" name="carry" value="no">
        <label for="carry_no">No</label>
      </div>
    </div>
  </div>
  <!-- Grave Marker -->
  <div class="row">
    <div class=" col-8 form-centered-col radio">
      <label>Do you want us to get the grave marker?</label>
      <div class="ps-3">
        <input type="radio" id="grave_marker_yes" name="grave_marker" value="yes">
        <label for="grave_marker_yes">Yes</label><br>
        <input type="radio" id="grave_marker_no" name="grave_marker" value="no">
        <label for="grave_marker_no">No</label>
      </div>
      <div class="form-text">The exact dimensions and message to be discussed later</div>
    </div>
  </div>
  <!-- Cemetery Selection -->
  <div class="row">
    <div class=" col-8 form-centered-col">
      <label for="cemetery">Based on the selection of funeral home: which cemetery</label>
      <select class="form-control" id="cemetery">
        <option value="cemetery1">Cemetery 1 - Purchase of grave, fee to open grave</option>
        <option value="cemetery2">Cemetery 2 - Purchase of grave, fee to open grave</option>
        <option value="cemetery3">Cemetery 3 - Purchase of grave, fee to open grave</option>
      </select>
    </div>
  </div>
  <!-- Limousine -->
  <div class="row">
    <div class=" col-8 form-centered-col radio">
      <label>Limousine / no limousine</label>
      <div class="ps-3">
        <input type="radio" id="limousine_yes" name="limousine" value="yes">
        <label for="limousine_yes">Yes: Pass the house on route to the cemetery</label><br>
        <input type="radio" id="limousine_no" name="limousine" value="no">
        <label for="limousine_no">No</label>
      </div>
    </div>
  </div>
  <!-- Notices -->
  <div class="row">
    <div class=" col-8 form-centered-col radio">
      <label>Newspaper / radio / RIP.ie</label>
      <div class="ps-3">
        <input type="radio" id="notice_write" name="notice" value="write_now">
        <label for="notice_write">Write down the notice right now</label><br>
        <input type="radio" id="notice_mail" name="notice" value="mail_later">
        <label for="notice_mail">Mail it to us later</label>
      </div>
    </div>
  </div>
  <!-- Music -->
  <div class="row">
    <div class=" col-8 form-centered-col radio">
      <label>Do you want music at the service?</label>
      <div class="ps-3">
        <input type="radio" id="music_yes" name="music" value="yes">
        <label for="music_yes">Yes</label><br>
        <input type="radio" id="music_no" name="music" value="no">
        <label for="music_no">No</label>
      </div>
      <textarea class="form-control mt-2" id="music_text" rows="2" placeholder="Please specify what music"></textarea>
    </div>
  </div>
  <!-- Service Booklets -->
  <div class="row">
    <div class=" col-8 form-centered-col radio">
      <label for="service_booklets">Mass/service booklets?</label>
      <div class="ps-3">
        <input type="radio" id="booklets_yes" name="booklets" value="yes">
        <label for="booklets_yes">Yes</label><br>
        <input type="radio" id="booklets_no" name="booklets" value="no">
        <label for="booklets_no">No</label>
      </div>
      <div class="form-text">Booklets are provided by the funeral home of your choice, for additional customization please contact them.</div>
    </div>
  </div>
  <!-- Photograph -->
  <div class="row">
    <div class=" col-8 form-centered-col radio">
      <label>Photograph / no photograph</label>
      <div class="ps-3">
        <input type="radio" id="photo_yes" name="photo" value="yes">
        <label for="photo_yes">Yes</label><br>
        <input type="radio" id="photo_no" name="photo" value="no">
        <label for="photo_no">No</label>
      </div>
      <input type="file" class="form-control mt-2 hidden" id="photo_upload" accept="image/*">
    </div>
  </div>
  <!-- Singer -->
  <div class="row">
    <div class=" col-8 form-centered-col radio">
      <label>Singer for funeral mass - 300</label>
      <div class="ps-3">
        <input type="radio" id="singer_yes" name="singer" value="yes">
        <label for="singer_yes">Yes</label><br>
        <input type="radio" id="singer_no" name="singer" value="no">
        <label for="singer_no">No</label>
      </div>
    </div>
  </div>
  <!-- Lunch -->
  <div class="row">
    <div class=" col-8 form-centered-col">
      <label for="lunch">Lunch for family and friends after the funeral</label>
      <textarea class="form-control" id="lunch" rows="3" placeholder="Provide description"></textarea>
    </div>
  </div>
  <!-- Administration Charge -->
  <div class="row">
    <div class=" col-8 form-centered-col">
      <label>Funeral Directors’ administration charge covering the cost of the arrangement, coordination, and discharge of all funeral arrangements. - 650</label>
    </div>
  </div>
  <!-- Additional Wishes or Comments -->
  <div class="row">
    <div class=" col-8 form-centered-col">
      <label for="additional_wishes">Additional wishes or comments?</label>
      <textarea class="form-control" id="additional_wishes" rows="3" placeholder="Wishes may not be fulfilled"></textarea>
    </div>
  </div>
  <!-- submit -->
  <div class="container h-100">
    <div class="row h-100 justify-content-center align-items-center">
      <div class="col-auto">
        <button type="submit" class="btn btn-outline">Review order</button>
      </div>
    </div>
  </div>
</form>

Text Content

   
 * About Funerals
 * Packages

123-456-7890


FUNERAL BOOKING

Let us guide you through the process of planning a funeral.

Select one of our prepared packages and customize whatever you would like to
have at the funeral.

Everything will be handled for you, simply choose your preffered funeral home
and let us do the rest.

Learn More



ABOUT US

We are a platfrom that connect reputable funeral directors with grieving
families to allow a seemless and painless process
Learn More



OUR PROCESS

After selecting one of our four preselected packages you can adjust the aspect
of the funeral that you would like to customize.

Once you have customized what you want at the funeral, we will connect you with
our funeral provider of your choice.

Learn More



OUR PACKAGES


BASIC

€4000
 * Funeral Arrangements
 * Cremation Process
 * Dressing & Cosmetizing
 * Service Vehicle

Order Now


GOLD

€6000
 * Funeral Arrangements
 * Cremation Process
 * Dressing & Cosmetizing
 * Service Vehicle

Order Now


PREMIUM

€8500
 * Funeral Arrangements
 * Cremation Process
 * Dressing & Cosmetizing
 * Service Vehicle

Order Now


ECO PACKAGE

€6000
 * Funeral Arrangements
 * Cremation Process
 * Dressing & Cosmetizing
 * Service Vehicle

Order Now
Email address
Address
Funeral Homes Nearby: Basic coffin Standard coffin Premium coffin
Would you like a Burial or Cremation? Burial Cremation
What type of funeral do you prefer?

Catholic
Humanist

Date of the funeral
Where would you like to hold the service?

At a Church
At a Crematorium
At the Funeral Home
At Home

Where will you hold the Wake?
At Home
At the Funeral Home
Where are the remains?
Please be specific
Removal on the day before or on the day of the funeral
Day before
Day of
Removal cost - Provision of our hearse and staff for the removal of remains to a
Church and on to cemetery of choice
Do you want us to collect, embalm, and dress the remains?
Yes
No
Charge - 550
Please prepare the clothes that you want the deceased to wear during the funeral
Coffin: Basic coffin Standard coffin Premium coffin
Will the family carry the coffin at the funeral?
Yes
No
Do you want us to get the grave marker?
Yes
No
The exact dimensions and message to be discussed later
Based on the selection of funeral home: which cemetery Cemetery 1 - Purchase of
grave, fee to open grave Cemetery 2 - Purchase of grave, fee to open grave
Cemetery 3 - Purchase of grave, fee to open grave
Limousine / no limousine
Yes: Pass the house on route to the cemetery
No
Newspaper / radio / RIP.ie
Write down the notice right now
Mail it to us later
Do you want music at the service?
Yes
No
Mass/service booklets?
Yes
No
Booklets are provided by the funeral home of your choice, for additional
customization please contact them.
Photograph / no photograph
Yes
No
Singer for funeral mass - 300
Yes
No
Lunch for family and friends after the funeral
Funeral Directors’ administration charge covering the cost of the arrangement,
coordination, and discharge of all funeral arrangements. - 650
Additional wishes or comments?
Review order

We are an online funeral booking service, making the mourning period easier for
grieving families

Email: filip.black.cerny@gmail.com

Offices: The Chq Building, Custom House Quay, North Wall, Dublin