PRE-ARRANGED FUNERALS
Today, more and more people are pre-planning their funerals. Pre-planning, or pre-arranging, is simply taking care of your funeral details before the need arises. These could include whether you would like a traditional funeral or a simple memorial service. A burial or cremation. It also includes making decisions ahead of time on specific items such as place, decorations, people you would like to notify, flowers, clothing and other items important to you.

PRE-ARRANGED FUNERAL QUESTIONAIRE
Full Name*:  
E-Mail*:  
Address 1*:  
Address 2:  
City*, State*, Zip*:   ,
Phone (with area code)*:  
Birthdate:   Month Date Year
Place of Birth:  
Usual Occupation:  
Education Grade Level:  
Father's Name:  
Mother's Name:  
Mother's Maiden Name:  
     
Veteran:   Yes No
     
Marital Status:   Married Widowed Divorced Never Married
     
Marriage Date:   Month Date Year
Marriage Place:  
Spouse:  
Contact Person:  
Address 1:  
Address 2:  
City, State, Zip   ,  
Phone (with area code):  
Preferred Church:  
Preferred Officiant:  
     
Disposition Preference:   Burial Cremation Entombment Other
     
Comments:  
     
Service to be held at:   Mortuary Church Chapel Graveside
     
Friends calling:   Yes No
     
Casket:   Open Closed
     
Participating fraternal, military or service organization:  
     
Obituary:   Yes No
Newspaper(s):  
   
Pallbearers selected by:  
Casket:  
Vault:  
Flowers (type):  
Favorite literature or religious passage/verse:  
Favorite musical selection:  
     
Specific requests to be performed at service:  
     
Contributions (Name of charity)  
Flag (If Veteran):   Folded Draped
Flag given to:  
     
Specific Clothing:  
     
Glasses:  
Jewelry:  
     
Cemetery property owned:   Yes No
     
Cemetery:  
     
Location:  
Space  
Lot  
Vault  
Marker  
     
City, State   ,  
     
Survivors: