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Arrangements for (Name)*
Today's Date
Address
City* State* Zip
Telephone* Email*

Would you choose: Burial Entombment Cremation

Do you own burial, mausoleum, or columbarium space? Yes No
........If Yes, where?

If you chose burial or entombment, would you prefer a Hardwood or Metal casket?

If you chose cremation, would you prefer a Hardwood or Metal urn?

Would you like a visitation for family and friends? Yes No

Would you like to have a funeral or memorial ceremony? Yes No
........If Yes, where should it be? Our funeral home Your church
...... Somewhere else (describe)

Who would you like to conduct and take part in the service?

Ministers
Family members and friends
......
Other speakers
......
Who would you choose as pallbearers?
......
Your music preferences for the ceremony:
......
Your favorite flowers:
......

Special items you would like displayed during visitation and the ceremony
(such as pictures, hobby items, awards, mementos, etc.):
......

Comments and suggestions:
......

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