Online Arrangements

The information below is needed by our funeral home to assist in making final arrangements.
This form may also be used when Prearranging funeral wishes for yourself or a loved one
.

  Service Arrangements  
Name, address & phone number of person making arrangements
Minister's Name
Name of Church
Cemetery
City
State
Type of Military or Lodge Services
Soloist / Musical Selections
Favorite Bible Selections
Names and Phone Numbers of Pallbearers
Choice of Casket
Burial Vault
Type of Marker
Special Wishes for Jewelry, Clothing,
Eyeglasses, etc.
 
Personal Information  
Full Name of Deceased
Address and Phone Number
Date of Birth
Place of Birth
Social Security Number
Date of Death
Place of Death
Name of Husband or Wife
Father's Name
Mother's Name (Include Maiden)
Emergency Survivor Names and Phone Numbers
Schools Attended 1-12
College
Church/Clubs/Organizations
Military Service
(Dates, Rank, Serial No., DD214)
Public Offices Held