www.funeralbooking.ie Open in urlscan Pro
34.252.242.73  Public Scan

Form analysis
1 forms found in the DOM

Name: funeral_form —

<form class="section-md parent-border-bottom" id="funeral_form" name="funeral_form">
  <div class="row" id="customer-details">
    <div class="col-lg-2 d-flex justify-content-between" id="sticky-container" style="padding-left: 0px; padding-right: 0px;">
      <div class="sticky-question" id="sticky-summary" style="height: 200px;">
        <span style="font-size:30px;"> Estimated Total: </span>
        <div id="sticky-total" style="font-size:40px; font-weight: bold;">
        </div>
      </div>
    </div>
    <div class="mb-1 col-lg-8 col-sm-10 form-centered-col question">
      <div class="row">
        <div style="font-size: 26px;"> Your details: </div>
      </div>
      <div class="row" id="requester-name">
        <label for="requester-name"> Full Name:</label>
        <input type="text" class="form-control" id="requester-name-input" name="requester-name-input">
      </div>
      <div class="row" id="email-row">
        <label for="email_input" class="form-label">Email address:</label>
        <input type="email" class="form-control" id="email_input" name="email_input" placeholder="name@example.com">
      </div>
      <div class="row" id="phone-number">
        <label for="phone-input">Phone Number:</label>
        <input type="text" class="form-control" id="phone-input" name="phone-input">
      </div>
    </div>
    <div class="col-lg-2"></div>
  </div>
  <input type="hidden" name="selectedOption" id="selectedOption">
  <div class="row" id="deceased-details">
    <div class="mb-1 col-lg-8 col-sm-10 form-centered-col question">
      <div class="row">
        <div style="font-size: 26px;"> Details of the deceased: </div>
      </div>
      <div class="row deceased-margin">
        <div class="col-lg-4">
          <label for="name_input" class="form-label">Name</label>
          <input type="text" class="form-control" id="name_input" name="name_input" placeholder="">
        </div>
        <div class="col-lg-4">
          <label for="middle_name_input" class="form-label">Middle Name (optional)</label>
          <input type="text" class="form-control" id="middle_name_input" name="middle_name_input" placeholder="">
        </div>
        <div class="col-lg-4" style="margin-bottom: 10px;">
          <label for="last_name_input" class="form-label">Last Name</label>
          <input type="text" class="form-control" id="last_name_input" name="last_name_input" placeholder="">
        </div>
        <div class="col-lg-6">
          <label for="dob_input" class="form-label">Date of Birth</label>
          <input type="date" class="form-control" id="dob_input" name="dob_input">
        </div>
        <div class="col-lg-6">
          <label for="dod_input" class="form-label">Date of Death</label>
          <input type="date" class="form-control" id="dod_input" name="dod_input">
        </div>
        <div class="col-lg-12">
          <label for="death-location" class="form-label">Location of Death</label>
          <input type="text" class="form-control" id="death-location" name="death-location" placeholder="Exact Address">
        </div>
        <div class="col-lg-12">
          <label for="remains-location" class="form-label">Location of Remains</label>
          <input type="text" class="form-control" id="remains-location" name="remains-location" placeholder="Exact Address">
        </div>
        <div class="col-6">
          <label for="death-certificate" class="form-label">Do you have a death certificate?</label>
          <div class="ps-3" id="death-certificate">
            <input type="radio" id="yes-death-certificate" name="death-certificate" value="yes-death-certificate">
            <label for="yes-death-certificate">Yes</label><br>
            <input type="radio" id="no-death-certificate" name="death-certificate" value="no-death-certificate">
            <label for="no-death-certificate">No</label><br>
          </div>
        </div>
        <div class="col-6">
          <label for="medical-exam" class="form-label">Has there been a medical examination?</label>
          <div class="ps-3" id="medical-exam">
            <input type="radio" id="yes-medical-exam" name="medical-exam" value="yes-medical-exam">
            <label for="yes-medical-exam">Yes</label><br>
            <input type="radio" id="no-medical-exam" name="medical-exam" value="no-medical-exam">
            <label for="no-medical-exam">No</label><br>
          </div>
        </div>
        <div class="col-6">
          <label for="expectation" class="form-label">Was the death expected?</label>
          <div class="ps-3" id="expectation">
            <input type="radio" id="expected" name="expectation" value="expected">
            <label for="expected">Yes</label><br>
            <input type="radio" id="unexpected" name="expectation" value="unexpected">
            <label for="unexpected">No</label><br>
          </div>
        </div>
      </div>
    </div>
  </div>
  <!-- Burial or cremation -->
  <div class="row">
    <div class="col-lg-8 col-sm-10 form-centered-col question">
      <div class="row">
        <div style="font-size: 26px;"> The Service: </div>
      </div>
      <!-- Religion -->
      <div class="row">
        <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="catholic">Catholic</label><br>
          <input type="radio" id="humanist" name="religion" value="humanist">
          <label for="humanist">Humanist</label><br>
          <input type="radio" id="traditional" name="religion" value="traditional">
          <label for="traditional">Traditional</label><br>
          <input type="radio" id="contemporary" name="religion" value="contemporary">
          <label for="contemporary">Contemporary</label><br>
        </div>
      </div>
      <div class="row">
        <label for="funeral_type" class="form-label">Would you like a Burial or Cremation?</label>
        <div class="ps-3" id="funeral_type">
          <input type="radio" id="burial" name="disposal" value="burial">
          <label for="burial">Burial</label><br>
          <input type="radio" id="cremation" name="disposal" value="cremation">
          <label for="cremation">Cremation</label><br>
        </div>
      </div>
      <div class="hidden" id="if-burial">
        <!-- Service location -->
        <div class="row">
          <label>Where would you like to hold the service?</label><br>
          <div class="ps-3">
            <input type="radio" id="church_burial" name="service_location" value="church">
            <label for="church_burial">At a Church</label><br>
            <input type="radio" id="funeral_home_burial" name="service_location" value="funeral_home">
            <label for="funeral_home_burial">At the Funeral Home</label><br>
            <input type="radio" id="home_burial" name="service_location" value="home">
            <label for="home_burial">At Home</label><br>
          </div>
        </div>
        <div class="row">
          <label for="attended-burial">Will the burial be attended?</label>
          <div class="ps-3" id="attended-burial">
            <input type="radio" id="attended-burial-yes" name="attended-burial" value="yes">
            <label for="attended-burial-yes">Yes</label><br>
            <input type="radio" id="attended-burial-no" name="attended-burial" value="no">
            <label for="attended-burial-no">No</label>
          </div>
        </div>
        <!-- cemetery -->
        <div class="row">
          <div class="size-20">Select the cemetery:</div>
          <div id="cemetery-selection-container">
          </div>
        </div>
        <div class="row">
          <label for="grave-marker">Do you have a grave marker or do you want us to get one?</label>
          <div class="ps-3" id="grave-marker">
            <input type="radio" id="grave-marker-yes" name="grave-marker" value="yes">
            <label for="grave-marker-yes">I already have one</label><br>
            <input type="radio" id="grave-marker-no" name="grave-marker" value="no">
            <label for="grave-marker-no">I will need you to get one</label>
          </div>
        </div>
      </div>
      <div class="hidden" id="if-cremation">
        <div class="row">
          <label for="attended-cremation">Will the cremation be attended?</label>
          <div class="ps-3" id="attended-cremation">
            <input type="radio" id="attended-cremation-yes" name="attended-cremation" value="yes">
            <label for="attended-cremation-yes">Yes</label><br>
            <input type="radio" id="attended-cremation-no" name="attended-cremation" value="no">
            <label for="attended-cremation-no">No</label>
          </div>
        </div>
        <!-- Service location -->
        <div class="row hidden" id="if_cremation_unattended">
          <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="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 class="row">
                <div class="size-20">Select an urn from the funeral home:</div>
                <div id="urn-selection-container" class="items-cards">

                </div>
              </div> -->
        <div class="row">
          <div class="size-20">Select the crematorium:</div>
          <div id="crematorium-selection-container">
          </div>
        </div>
      </div>
      <!-- coffin  -->
      <div class="row">
        <div class="size-20">Select a coffin from the funeral home:</div>
        <div id="coffin-selection-container" class="items-cards">
        </div>
      </div>
      <!-- flowers  -->
      <!-- <div class="row">
              <div class="size-20">Select a coffin spray from the funeral home:</div>
              <div id="flower-selection-container" class="items-cards">

              </div>
            </div> -->
      <div class="row">
        <label>Do you want a coffin spray?</label>
        <div class="ps-3">
          <input type="radio" id="coffin_spray_yes" name="coffin-spray" value="yes">
          <label for="coffin_spray_yes">Yes</label><br>
          <input type="radio" id="coffin_spray_no" name="coffin-spray" value="no">
          <label for="coffin_spray_no">No</label>
        </div>
      </div>
      <!-- Family Carry Coffin -->
      <div class="row">
        <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>
      <!-- Music -->
      <div class="row">
        <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>
        <div id="music_text" class="row hidden">
          <textarea class="form-control" rows="1" id="music_area" name="music_area" placeholder="Please specify what music"></textarea>
        </div>
      </div>
      <!-- Service Booklets -->
      <div class="row">
        <label for="service_booklets">Do you want 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 id="if-booklets-yes" class="row hidden">
          <label for="booklets_number">How many do you want?</label>
          <input type="number" id="booklets_number" class="form-control">
        </div>
      </div>
      <!-- Photograph -->
      <div class="row">
        <label>Do you want a photograph on the coffin?</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>
      <!-- Singer -->
      <div class="row">
        <label>Do you want a singer for funeral mass?</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 class="row">
        <label for="poems-reading">Would you like any specific readings, poems, photography, or other tributes?</label>
        <textarea class="form-control" id="poems-reading" name="poems-reading" rows="2"></textarea>
      </div>
    </div>
  </div>
  <div id="editable-section">
    <div class="row">
      <div class="question col-lg-8 col-sm-10 form-centered-col">
        <div class="size-20">Choose your preffered dates for the service:</div>
        <div id="calendar"></div>
      </div>
    </div>
  </div>
  <!-- Wake -->
  <div class="row">
    <div class="col-lg-8 col-sm-10 form-centered-col radio question">
      <div class="row">
        <div style="font-size: 26px;"> The Wake: </div>
      </div>
      <div class="row">
        <label for="wake-location">Do you want to hold the Wake?</label>
        <div class="ps-3" id="wake-yes-no">
          <input type="radio" id="wake-yes" name="wake-decision" value="wake-yes">
          <label for="wake-yes">Yes</label><br>
          <input type="radio" id="wake-no" name="wake-decision" value="wake-no">
          <label for="wake-no">No</label>
        </div>
      </div>
      <div id="if-wake-yes" class="hidden">
        <div class="row">
          <label for="wake-location">Where will you hold the Wake?</label>
          <div class="ps-3" id="wake-location">
            <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><br>
            <input type="radio" id="wake_church" name="wake" value="wake_church">
            <label for="wake_church">At a Church</label>
          </div>
        </div>
        <div class="row">
          <label for="wake-duration">How long do you want the wake to last?</label>
          <textarea class="form-control" id="wake-duration" name="wake-duration" rows="2"></textarea>
        </div>
      </div>
    </div>
  </div>
  <!-- church -->
  <div class="row hidden" id="reveal_if_church">
    <div class="question col-lg-8 col-sm-10 form-centered-col">
      <div class="size-20">Select the church:</div>
      <div id="church-selection-container">
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-lg-8 col-sm-10 form-centered-col question">
      <div class="row">
        <div style="font-size: 26px;"> The Remains and Transport: </div>
      </div>
      <!-- Removal Section -->
      <div class="row">
        <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>
      <!-- Embalming Section -->
      <div class="row">
        <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">Please prepare the clothes that you want the deceased to wear during the funeral </div>
      </div>
      <!-- Clothing, jewelry instructions -->
      <div class="row">
        <label for="clothing-jewelry">Do you have any instructions for clothing or jewelry?</label>
        <textarea class="form-control" id="clothing-jewelry" name="clothing-jewelry" rows="2"></textarea>
      </div>
      <!-- Body transportatoin -->
      <div class="row">
        <label>What transport option do you want?</label>
        <div class="ps-3">
          <input type="radio" id="hearse" name="transport" value="hearse">
          <label for="hearse">Hearse</label><br>
          <input type="radio" id="motorbike" name="transport" value="motorbike">
          <label for="motorbike">Motorbike</label><br>
          <input type="radio" id="tractor" name="transport" value="tractor">
          <label for="tractor">Tractor</label>
        </div>
      </div>
    </div>
  </div>
  <!-- Notices -->
  <div class="row">
    <div class="col-lg-8 col-sm-10 form-centered-col radio question">
      <div class="row">
        <div style="font-size: 26px;"> Notice: </div>
      </div>
      <div class="row">
        <div class="ps-3">
          <input type="radio" id="newspaper" name="notice" value="newspaper">
          <label for="newspaper">Newspaper</label><br>
          <input type="radio" id="radio-notice" name="notice" value="mail_later">
          <label for="radio-notice">Radio</label><br>
          <input type="radio" id="ripie" name="notice" value="ripie">
          <label for="ripie">RIP.ie</label>
        </div>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-lg-8 col-sm-10 form-centered-col question">
      <div class="row">
        <div style="font-size: 26px;"> Other: </div>
      </div>
      <!-- Limousine -->
      <div class="row">
        <label for="limousine_number">How many limousines?</label>
        <input type="number" id="limousine_number" class="form-control" name="limousine_number" value="0">
        <div class="form-text">Each limousine can take around 6 people.</div>
      </div>
      <!-- Lunch -->
      <div class="row">
        <label for="lunch">Lunch for family and friends after the funeral</label>
        <textarea class="form-control" id="lunch" name="lunch" rows="3" placeholder="Provide description"></textarea>
      </div>
      <!-- Additional Wishes or Comments -->
      <div class="row">
        <label for="additional_wishes">Additional wishes or comments?</label>
        <textarea class="form-control" id="additional_wishes" name="additional_wishes" rows="3"></textarea>
      </div>
    </div>
  </div>
  <div id="order-summary">
    <div class="question centered">
      <div class="row d-flex text-center">
        <h1>Order Summary:</h1>
      </div>
      <div id="order-items" class="col-lg-8 col-sm-10 centered">
        <div class="row">
          <div class="bot-border d-flex justify-content-between align-items-center form-centered-col">
            <span>Funeral Directors’ administration charge</span>
            <span data-price="" class="price-summary" id="admin_charge"></span>
          </div>
        </div>
        <div class="row">
          <div class="bot-border d-flex justify-content-between align-items-center form-centered-col">
            <span>Remains transportation cost</span>
            <span data-price="" class="price-summary" id="body_transportation"></span>
          </div>
        </div>
      </div>
      <div class="row">
        <div class="col-lg-8 col-sm-10 form-centered-col d-flex justify-content-between">
          <span style="font-size:30px;"> Total: </span>
          <div id="total" style="font-size:40px; font-weight: bold;">
          </div>
        </div>
      </div>
    </div>
  </div>
  <!-- submit -->
  <div class="container h-100" id="submit-button-container">
    <div class="row h-100 justify-content-center align-items-center">
      <div class="col-auto question">
        <button type="submit" class="btn btn-outline">Review order</button>
      </div>
    </div>
  </div>
</form>

Text Content

 * About Funerals
 * Packages

+353 874 928 391
Where do you want the funeral?



FUNERAL BOOKING

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

Spare the long in-person consultations, phone calls, and emails.

Customize the funeral here and get arrangements underway faster and easier.

Learn how funerals work



BURIAL

∼ €5000

A standard burial package including all the necessary items for a proper
respectful burial.

View Now


CREMATION

∼ €4000

A standard cremation package including the wake, service at the crematorium and
a standard urn.

View Now


ECO PACKAGE

∼ €3500

An environmentally conscious cremation package with an eco-friendly coffin and
crematorium service.

View Now
Estimated Total:

Your details:
Full Name:
Email address:
Phone Number:

Details of the deceased:
Name
Middle Name (optional)
Last Name
Date of Birth
Date of Death
Location of Death
Location of Remains
Do you have a death certificate?
Yes
No

Has there been a medical examination?
Yes
No

Was the death expected?
Yes
No

The Service:
What type of funeral do you prefer?

Catholic
Humanist
Traditional
Contemporary

Would you like a Burial or Cremation?
Burial
Cremation

Where would you like to hold the service?

At a Church
At the Funeral Home
At Home

Will the burial be attended?
Yes
No
Select the cemetery:

Do you have a grave marker or do you want us to get one?
I already have one
I will need you to get one
Will the cremation be attended?
Yes
No
Where would you like to hold the service?

At a Church
At the Funeral Home
At Home

Select the crematorium:

Select a coffin from the funeral home:

Do you want a coffin spray?
Yes
No
Will the family carry the coffin at the funeral?
Yes
No
Do you want music at the service?
Yes
No

Do you want mass/service booklets?
Yes
No
How many do you want?
Do you want a photograph on the coffin?
Yes
No
Do you want a singer for funeral mass?
Yes
No
Would you like any specific readings, poems, photography, or other tributes?
Choose your preffered dates for the service:

The Wake:
Do you want to hold the Wake?
Yes
No
Where will you hold the Wake?
At Home
At the Funeral Home
At a Church
How long do you want the wake to last?
Select the church:

The Remains and Transport:
Removal on the day before or on the day of the funeral
Day before
Day of
Do you want us to collect, embalm, and dress the remains?
Yes
No
Please prepare the clothes that you want the deceased to wear during the funeral
Do you have any instructions for clothing or jewelry?
What transport option do you want?
Hearse
Motorbike
Tractor
Notice:
Newspaper
Radio
RIP.ie
Other:
How many limousines?
Each limousine can take around 6 people.
Lunch for family and friends after the funeral
Additional wishes or comments?


ORDER SUMMARY:

Funeral Directors’ administration charge
Remains transportation cost
Total:

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