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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:

 
Edna Harris
Born: 12/13/1931
Died: 6/17/2017
Michael Bitting
Born: 12/23/1954
Died: 6/14/2017
Vera Carter
Born: 4/1/1931
Died: 6/13/2017
Miriam Ison
Born: 1/3/1926
Died: 6/9/2017
Ricky McCrummen
Born: 8/18/1965
Died: 6/7/2017
Fermin Medina Jr.
Born: 12/23/2000
Died: 6/2/2017
Dolores Spurlin
Born: 12/26/1941
Died: 5/31/2017
Elizabeth Litteral
Born: 3/2/1920
Died: 5/27/2017
Frances Avera
Born: 12/12/1928
Died: 5/25/2017

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