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Preplanning    

More and more people are realizing the advantages of pre-arranging their funerals. The process is simple and the benefit to loved ones left to handle the arrangements is well recognized. The benefits are numerous: pre-planning allows you to express your own wishes; there is a guaranteed funeral price; there's no income tax liability; your funeral plan is transferable in case you move away; it relieves your family of the financial burden. By relieving your family of burdensome decisions at a difficult time, you are showing your love and respect for their needs, too. There are several affordable payment options available. Call us to discuss these options. It can all be handled over the phone. You may preplan online now by filling out our preplanning form below.


*Requires Adobe Acrobat Reader

Information about person completing the form:
I am Planning for:
Last Name:
First Name:
Middle Name:
E-mail:
Street Address:
City:
County:
State:
Zip Code:
Phone:

Vital Information about the person you are planning for:
Last Name:
First Name:
Middle Name:
Sex:
Marital Status:
Social Security#:
Date of Birth: (ex. 1999)
Place Of Birth:
Spouse's Full Name:
Spouse's Maiden Name:
Place of Marriage:
Date of Marriage: (ex. 1999)
Father's Full Name:
Mother's Name:
Mother's Maiden Name:


Work and Education:
Education:
Usual Occupation:
(most of life)
Kind of Business:
Company (Optional):

Military Records:
Branch of Service:
Serial Number:
Date Enlisted:
Rank At Discharge:
Date Discharged:
Discharge On File At:
Copy of Discharge Papers:   YES    NO
Name Of  Wars:

Funeral Service Information:
Place Of Service:
Name of Funeral Home:
Address:
Phone:
Place of Visitation:
I Prefer The Funeral Service To Be:
Viewing For Family:
Viewing For Friends:
Religious Denomination:
Place Of Worship:
Lodge / Union:

Person(s) To Finalize Arrangements At Time Of Death:
Check here and skip this section if is information is the same as person filling out this form
 
Full Name:
Street Address:
City:
County:
State:
Zip Code:
Phone:

Special Instructions:
Flower Preference:
Music
Casket Bearers (6):
Jewelry:
Glasses:
Clothing:
Other:

Disposition Options:
I Prefer:
Cemetery:
Address:
Phone:
Section:
I have made a last will and testament:   YES    NO


Other Information & Special Instructions
Please list any other instruction or information you would like us to have:

Memorials & Charities
Please list any Memorials or Donations to Charity that you would like:


Options
Please select one of the options below:
Send information about pre-arrangement
Contact me to set an appointment
Please keep my information on file















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