Funeral Preferences Checklist

Name:

Phone:

Email:

Your Address:

Your Relationship:

Other (Please Specify):

Free Text

Arrrangements For:

Legal First Name:

Legal Middle Name:

Legal Last Name:

Disposition Requested:

If Cremation, Where is the final resting place of the Urn

Service Type

Religious

Non Religious

No Service (Disposition Only)

Undecided

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Gatherings / Visitations:

Public Visitation

Private Visitation

No Visitation

Memorial Visitation (Urn).

Undecided

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Merchandise (Casket / Container):

Steel Casket

Wood Casket

Cremation Container (Cardboard)

Rental Casket

Undecided

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