PRE-PLANNING
What is preplanning?
For many people, planning for the important milestones in their lives such as their death can provide them with peace of mind. Planning also helps ease the financial burden that is commonly imposed on families during a time of grief.
Preplanning involves documenting your wishes about your funeral service and may include both procedural aspects of the funeral as well as financial aspects.
• How do you preplan your funeral?
When you are ready to start this process, our staff will be more than happy to assist you and your family through the funeral planning process.
If you would like additional information or would like us to contact you regarding our preplanning services please fill in the following form and submit it to us and we will be more than happy to get back with you as quickly as possible.

Personal Information

Name:

Marital Status: 

Social Security#:

Date of Birth:

Place Of Birth:

Address:

City:

State:

County:

Zip:

Phone:

E-mail:

Spouse's Name:

Spouse's Maiden Name:

Place of
Marriage:

Date of Marriage:

Father's Name:

Mother's Name:

Mother's Maiden Name:

Work/Education History
Please describe the individuals education as well as a description of their occupation and companies of employment if desired.

Military Record
Please describe the individuals service record including branch of service, date discharged, serial number, and pertainent information about conflicts involved in if applicable and desired.

Funderal Service Request
Please describe the type of funeral service desired including where (funeral home, church, cemetary), religious denomination, and place of worship.

Special Instructions
Please describe any special instructions including those relating to flowers, music, casket bearers, jewelry, glasses, and/or clothing that are applicable.

Disposition Request

Please describe any specific disposition instructions such as burial, cremation, or mauseleum, and the location desired.

Other Instructions
Please provide any other instruction important to you.

Memorials/Donations to Charity
Please identify any memorial or donation requests that you may have.

 
 
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