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Collison Carey Hand Funeral Home
EASY FUNERAL PRE-PLANNING FORM
 

To be placed in the permanent files of Collison Carey Hand Funeral Home.
*Require fields

Person Completing this Form*:
Relationship*:
Email*:
 
Pre-arrangement Guide For
Full Legal Name*:
(no initials please)
Address:
(no P.O. Box)
City:
State:
Zip:
Date of Birth:
(mm/dd/yyyy)
Place of Birth:
Father's Full Name:
Mother's Full Maiden Name:
Highest Level of Education Completed:
Degree:
Veteran: Yes No
Military Branch:
Dates of Service:
Occupation:
Spouse's Full Name:
(Wife's maiden name, if applicable)
Religious Affiliation/Congregation:
 
Family Member Information

Family Member #1

 
Funeral Arrangement Details
Person in charge of arrangements:
 
Place of service or gathering:
If Other, please specify:

 

Preference for final disposition:
If Other, please specify:
Cemetery:
Disposition of cremated body:
 

In the space provided below, please share any information that would be helpful in creating a meaningful service. (ie. favorite hobbies, places, music selections, poems, scripture, etc.)

Any final thoughts that should be shared?

 

Do you wish to be contacted to discuss the details
of these arrangements, cost or payment options? Yes No

If yes, how should we contact you:
Phone Number:

If no, we will keep this information on file until you or your surviving family requests it.

  security code
Enter Security Code:

 
William Parker
Born: 9/30/1947
Died: 4/18/2017
Ernesto Gil
Born: 7/6/1926
Died: 4/18/2017
Answerd Tomlinson
Born: 1/27/1915
Died: 4/17/2017
Susan Delgado
Born: 12/21/2014
Died: 4/15/2017
John Laster
Born: 7/1/1946
Died: 4/12/2017
Ruth Cox
Born: 10/5/1925
Died: 4/8/2017
Evelyn Gates
Born: 6/3/1930
Died: 4/5/2017
Robert Galipeau
Born: 5/3/1931
Died: 4/4/2017
Evelyn Austin
Born: 5/3/1920
Died: 4/1/2017

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