Online Condolences
  
213 West Mountain Street, Kernersville, NC 27284   | 336-993-2121   |   336-993-0680 (Fax)
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Please fill-out the form below so that the Pierce-Jefferson staff may forward condolences to the appropriate family member.
* = Required

Your Name:*
Your Address: City:
Your State: Zip Code:
Your Phone Number:
Your E-Mail Address:
   
Name of Deceased:*
Family member to
    receive this note:
Note:
Special Request(s):

About Us - Staff - Advance Planning - Online Condolences - Home

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