| Deceased Name |
|
Address |
|
| Zip |
|
Phone |
|
|
SERVICE (FUNERAL) (MEMORIAL) (GRAVESIDE)
|
| DAY |
|
DATE |
|
| TIME |
|
|
|
| Place |
|
Address |
|
| (Minister ) (Priest)
|
|
Phone |
|
| In State: Viewing of the departed outside of service time |
|
To
|
| In Church Not Opened |
|
Viewing (Before) (After) Service |
| Pallbearers and Organizations meet at
|
Meeting Time:
|
Officiate Name |
|
|
PREPARATION OF REMAINS
|
| Hair Style & Make-up |
|
Remains restoration required due to trauma, etc |
|
| Other (Special Instructions) |
|
Normal Weight |
|
| Height |
|
| Casket# |
|
Color |
|
| Clothing: Enter "Furnished" or the FuneralDiscounters.com Item number and size |
|
|
VIEWING
|
| Place: Enter "Funeral Home" or specific location |
|
Address |
|
| DAY |
|
DATE |
|
| Family View Time |
|
Public |
|
|
WAKE / ROSARY
|
| Place: Enter "Funeral Home" or specific location |
|
Address |
|
| DAY |
|
DATE |
|
| From |
|
To
|
| Car for (Minister/Priest) |
|
|
|
|
CREMATION / SHIPPING
|
| Cremation DAY |
|
DATE |
|
| Time |
|
| Disposition of Cremation Remains |
|
| Shipping DAY |
|
DATE |
|
| Time |
|
| Ship by |
|
| From |
|
To |
|
CEMETERY
|
| "If a cemetery plot has already been purchased or arranged, add details here. If not, feel free to select a vault/liner from FuneralDiscounters.com, and we will request cemetery arrangements for you. Be sure to put the desired Vault/liner model number in the Grave Receptacle box below, if needed" |
| (Plot) (Single) Lot |
|
Block |
|
| Section |
|
Grave |
|
| Plot Owner |
|
Address |
|
| Phone |
|
| Grave Receptaclet |
|
Vault Depth |
|
| Family to leave Grave Before Covered |
|
Name of Cemetery |
|
|
MOTORCYCLE ESCORTS / LIMO SCHEDULE
|
| Motor cycle Escorts |
|
No. for Service |
|
| First Stop Address |
|
Second Stop (if any) address |
|
| Arrive |
|
Number of Passengers |
|
| Home or Chapel Address |
|
Location type |
|
| Leave |
|
| Arrive |
|
Number of Passengers |
|
| Home, Chapel or Church Address |
|
Location type |
|
| Limo Schedule |
|
Cars for Family at |
|
| Zip |
|
| Apartment Name |
|
Apartment Number |
|
| Arrive Wake |
|
Service |
|
|
MISCELLANEAUS INFORMATION (Programs, Flowers, Special Instructions)
|
|
|
| Name of family member in charge of arrangements |
|
| Email of family member in charge |
|
| Phone number of family member in charge |
|