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Preplan a Funeral

Preplan a Funeral

Begin the preplanning process today by filling out the documents below. You can plan as much or as little as you like. Our trained professionals are available to answer any questions and help you arrange a personalized, meaningful tribute that will be healing for your loved ones.

Information about the person completing this form

I am planning for*:

First Name*:

Middle Name:

Last Name*:

Phone Number*:

Email Address*:

Address

Address:

City:

Country:

State/Province:

Zip/Postal code:

Show Detailed Form?

Show Detailed Form?

Yes

No

Information about the person you are planning for

First Name:

Middle Name:

Last Name:

Gender:

Marital Status:

Social Security #:

Date Of Birth:

Place Of Birth:

Spouse's Full Name:

Spouse's Maiden Name:

Place Of Marriage:

Date Of Marriage:

Mother's Full Name:

Mother's Maiden Name:

Father's Full Name:

Work and Education

Education (Primary):

Years Attended

College (1-5+):

Years Attended

Usual Occupation (most of life):

Kind Of Business:

Company:

Military Records

Branch Of Service:

Serial Number:

Discharge On File At:

Date Of Discharge:

Rank At Discharge:

Copy Of Discharge:

Yes

No

Names Of War(s)/Conflict(s) Toured:

Funeral or Memorial Service Preferences

Place of Service:

Name Of Funeral Home:

Address

Address:

City:

Country:

State/Province:

Zip/Postal code:

Phone:

Place Of Visitation:

I Prefer The Funeral Service To Be:

Viewing For Family:

Yes

No

Viewing For Friends:

Yes

No

Religious Denomination:

Place Of Worship:

Lodge/Union:

Person(s) to Finalize Arrangements at Time of Death

Full Name:

Address

Address:

City:

Country:

State/Province:

Zip/Postal code:

Phone Number:

Special Instructions

Flower Preference:

Music Preference:

Jewelry:

Glasses:

Clothing:

Other:

Disposition Options

I Prefer:

Cemetery:

Address

Address:

City:

Country:

State/Province:

Zip/Postal code:

Phone:

Section:

I Have Made A Last Will And Testament:

Yes

No

Other Information and Special Instructions

Please List any other instructions you would like us to have:

Memorials and Charities

Please list any Memorials or Donations that you would like:

Contact Options

Contact Options:

Send information about pre-arrangement

Contact me to set an appointment

Please keep my information on file

Contact Options

Contact Options:

Send information about pre-arrangement

Contact me to set an appointment

Please keep my information on file

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Terms & Conditions

OUR LOCATION

200 Binnington Court
Kingston, Ontario
K7M 8R6
Phone: (800) 480-6467
Fax: (613) 549-4567
Email: sales@funeraltech.com

HOME | ABOUT US | FUNERAL PLANNING | PRE-PLANNING | RESOURCES | OBITUARIES & TRIBUTES

200 Binnington Court | Kingston, Ontario | K7M 8R6 | Phone: (800) 480-6467 | Fax: (613) 549-4567 | Email: sales@funeraltech.com

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Home
About Us
Resources
Obituaries
- Obituaries
- Send Flowers
Funeral Planner
Family Login
My Life's Urn Builder