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Home» Services » Pre-Planning

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Pre-Planning

“Providing answers before they are needed”

People are discovering that pre-arranging their funeral eliminates the burden of having to make complex arrangements at a most difficult time. Not only does pre-planning allow you the assurance that your wishes are fulfilled, you are able to secure your service arrangements at today’s prices. Whether your plans include a traditional funeral service to a direct cremation, we offer a variety of pre payment options allowing you and your family peace of mind.

I am planning for:

Personal Information

*First Name:

*Last Name:

*Email:

*Phone Number:

Address:

City:

State/Province:

Country:

Zip Code:

Place of Birth:

Date of Birth:

Sex:

Citizenship:

Marital Status:

Spouse (Maiden Name):

Father's Name:

Mother's Maiden Name:

SSN:

Religious Preference:


Education

High School name:

# of Years:

College Name:

# of Years:

Family Information: Please list the names of survivors and state their relationship to you, their spouse's names and the city in which they live as you wish to have them listed in the memorial. (The following is a guide to assist you.) SURVIVORS: Spouse, Sons, Daughters, Parents, Brothers, Sisters, Grandchildren, (Great-grandchildren), Grandparents, Others (Eg. Son: Joe Smith and his wife Paula of Milledgeville)

Survivors:

Preceded In Death By:

Additional Information and Organ


Work History

Occupation:

Business:

Industry:

Company:

Number of Years:

Years Retired:


Military Service

Service Branch:

Serial Number:

Date Enlisted:

Rank at Discharge:

Date Discharged:

Discharge on File At:

Combat Action:


Funeral Preferences

I prefer my funeral service to be:

Visitation:

If Other:

I prefer

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