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MAKE IT EASIER
for those you love

The subject of death is not always an easy thing to talk about. Discussing your funeral in advance can be a worthwhile experience in light of the impact your death will have on those you love most. It is also one of the most thoughtful ways of expressing your love for your family - by sparing them unnecessary hardship and complication.

Here are three important reasons to plan your funeral now:

  • Your wishes are recorded and fulfilled,
  • Your family is not forced to make difficult decisions when distraught,
  • You make decisions now, with a clear head and unclouded by emotion.

We offer you two convenient methods of Pre-Planning a funeral:

Preplan Now
With Our Online Form
  Contact One Of Our
Preplanning Specialists

We will maintain a copy of your confidential pre-arrangements in our files, and will forward a copy to you for your records.


Other Resources
Estate Planning, Government Benefits,
Grief Information, Etc.


 

Personal Information


First Name:
Middle Name(s):
Last Name:
Telephone Number:
E-mail Address:
 
 
Address:
Town/City:
State:
Zip Code:
Date of Birth:
Place of Birth:
(city&state or County & state)
Marital Status:
Spouses Name:
(Maiden name and full name of wife or husband’s full name)
Highest Education:
Occupation:
(for longest period during working life)
Social Security Number:
Father's Full Name:
Mother's Full Name:
(include her maiden name)
 

Person who will be in charge of my funeral arrangements:


 
Name:
Address:
Town/City:
State:
Zip Code:
Telephone Number:


Military Information


Branch of Service:
Description of Service:
(Wars fought in, medals earned, military campaigns)
Veteran's Service Number:
Rank
Location of Discharge Papers:
Do you wish to have a military graveside service? Yes No
If yes, Who should conduct your service? American Legion
Veterans of Foreign Wars


Family Members


Spouse:
(Address and phone numbers)
Daughters:
(Hometowns and phone numbers)
Sons:
(Hometowns and phone pumbers)
Grandchildren:
(Hometowns and phone numbers)
Sisters:
(Hometowns and phone numbers)
Brothers:
(Hometowns and phone numbers)
Other Relatives:
(List relation, hometowns, and phone numbers)
Those who have preceded you in death:
(List relation, hometowns)


My Funeral Service Preferences


Church Membership:
Place of Service:
(Funeral Home, Church, Graveside, or other)
Clergy:
(Minister's hometown and phone number)
Type of Disposition: Burial
Entombment
Cremation
Other (Describe Below)


Cemetery Property Owned? Yes No
Name of Cemetery:
(Include: Location of Cemetery, City, & State)
Cemetery Preference:
(If property not owned, include location of cemetery, city & state)

Music Selections:
(Organ or piano background, live vocal,
or recorded music)
(If live vocal, include the vocalist,
and their phone number)
(List of songs)
Pallbearers or Honorary Pallbearers:
(Include pallbearers hometown, home phone number, and bearer type designation)
(A = Active Bearer, H = Honorary Bearer)
Lodge, Society, Fraternal Organization:
(List involvement and if you would
like an honor guard)
Flowers:
Memorial Contributions / Donations:
Obituary Information:

(List education and place of schooling, wedding date and place, work history and places I lived and worked, Clubs, Lodges, Hobbies, what I liked doing, significant accomplishments, Boards, Committees and community and Church involvement, etc.)

Do you wish to have memorial photos displayed? Yes No
Any information or special instructions not previously listed:




Please check as many of the following as apply.


Please contact me so that I may select my casket and vault in advance.
Please forward me a copy of my information for my records.
Please contact me if any of my submitted information needs clarification.
File my information for future reference at Ransdell Funeral Chapel, but please do not contact me.
I would like to discuss my pre-payment options with no obligation, please contact me.

 

 
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