Pre-Planning Contact info for Pre-Need Counselor: George J. Van Dreel (906) 428-3220 PRE-ARRANGED FUNERAL QUESTIONAIRE 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. Funeral InformationName* First Last Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Birthday Place of BirthUsual OccupationEducation Grade LevelFather's NameMother's NameMother's Maiden NameVeteran Yes Marital StatusSelectMarriedWidowedDivorcedNever MarriedMarriage PlaceSpouseSurvivorsContact InformationContact Person First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhonePreferencesPreferred ChurchPreferred OfficiantDisposition PreferenceSelectBurialCremationEntombmentOtherCommentsService to be held atSelectMortuaryChurchChapelGravesideFriends CallingSelectYesNoCasketSelectOpenCloseOrganization ParticipatingParticipating fraternal, military or service organization: Obituary Yes, I want an Obituary Newspaper(s)Pallbearers Selected by:CasketVaultFlowers (type)Favorite literature or religious passage/verseFavorite musical selectionSpecific requests to be performed at serviceContributions (Name of charity)Flag (If Veteran)FoldedDrapedFlag given toSpecific ClothingGlassesJewelryCemetery property ownedSelectYesNoCemeteryCemeteryLocation:SpaceLotVaultMarker City State / Province / Region