Pre-Arrangement

There are several good reasons to pre-arrange your service. Better decisions are made when stress and emotions are not factor in the process. Having the peace of mind that his or hers funeral request are taken in consideration. Pre-arranging assures that all expenses of the funeral service are paid for. Our Pre-Arrangement program allows you to make plans in a more comfortable setting without having to travel or and a counselor visit.

It is recommended that each person should pre-arrange his or her funeral, burial and/or cremation wishes. It doesn't cost anything, and it only takes a short time to give a funeral professional your biographical and funeral information; birthplace, father and mother's names, relatives, funeral details, etc. This will make it a lot easier on your family at the time of death.

Pre-arranging a funeral, cremation and cemetery arrangements significantly ease your family's burden when a death occurs. If you are ready to make some of the decisions now, you may fill in the form below (as much or as little as you like) and press the submit button.

**Personal Information**
Name (First MI Last):

Date of Birth:		Place Of Birth:
Address:
City:		State:
County:		Zip:
U.S. Veteran:
Phone:		E-mail:
Spouse's Name:		Spouse's Maiden Name:
Father's Name:		Mother's Name:
Mother's Maiden Name:

**Work/Education History**
Education:
Occupation:
Business:		Industry:

**Funeral Preferences**
I Prefer My Funeral Service To Be
Conclude Service At:
Religious Denomination:
I Prefer
Type Of Clothing:
Preferred Casket Type:

**Memorialization Instructions**
Musical Selections To Be Played
Will Supply CD/Tape
Musical Selections To Be Sung
Favorite Bible Passages:
Favorite Literature Or Poems:
Favorite Flower(s):

**Final Disposition**
Preference for final disposition is:	Ground interment with
	Mausoleum entombment
	Cremation with
	Ship to
Cemetery Name:
Address:
A is owned at the above location

**Special Instructions**

**Person To Finalize Arrangements At Time Of Death**
Name:
Relationship:
Address:
City:	State:	Zip:
Phone:	E-mail:

**Please select one of the options below**
Send information about your pre-arrangement program Contact me to set an appointment with an counselor Please keep my information on file for future reference