What better way to say I love you, than to lift the emotional burden of making funeral arrangements from those you love. Here are four basic reasons why our families think this makes sense:

Find out what is available. Whether it is to explore your religious options or where you receive the best service at the right price. When making any substantial monetary decision, most people compare prices. Whenever doing so, always compare total charges.

Take the time while in the right frame of mind to make sound decisions. Be sure the kind of service you select reflect your views or the persons' views you are making the arrangements for. When pre-financing you can make sure your funds are secure. The price of services selected today are guaranteed, never to increase, regardless of when they are needed.

Peter E. Von Geis - Supervisor

When under stress, many important details may be forgotten. Survivors often times do not know vital information that is needed in order to file a death certificate, such as the decedent's Social Security number, mother's maiden name, date of birth, etc…. Making arrangements in advance can eliminate all of this.

After making arrangements you and your family will be comforted to know that everything is in order. In the event that death does occur the tension will be lessened by the forethought you have exhibited when planning ahead.

Personal Information
Name
(First MI Last):
Marital Status:   Social_Security #:
Date of Birth: Place Of Birth:
Address:
City: State:
County: Zip:
Phone: E-mail:
Spouse's Name: Spouse's Maiden Name:
Place of
Marriage: 		Date of Marriage:
Father's Name: Mother's Name:
Mother's Maiden Name:
Person in Charge:
Address:
Phone:


Work/Education History
Education (0-12):
 College 1-5+:
Occupation:
Business:
 Company:
Schools Attended and Graduation Years

Military Record
Branch of Service: Serial Number:
Date Enlisted: Rank At Discharge:
Date Discharged: Discharge On File At:
Copy of Discharge Papers:     Yes     No
Name Of Wars:

Funeral Service Request
Place Of Service:
Length of Visitation:
Religious Denomination:
Place Of Worship:

Newspaper Information (Please list family members)
Spouse:
Parents:
Children:
Brothers/Sisters:
Number of Grandchildren:
List any other significant relatives :

Special Instructions
Lodges, Organizations, and Offices held:
Jewelry:
Glasses:
Lodge / Union:
Person in Charge of Final Arrangements:
Clothing Preference: My own Other
Funeral Luncheon Site:


Disposition Request
I Prefer:
Cemetery:
Address: Phone:
Section:
I have made a last will and testament:     Yes     No
Location:

If Cremation, final disposition of cremated remains should be?
Burial Location:
Scattering Location:
Received By:


Other Instructions

Memorials/Donations To Charity

Please select all that apply:
Send information about pre-arrangement

Contact me to set an appointment

Please keep my information on file


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