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Pre-Plan Online

We understand that making the many decisions which come at a time of loss can be difficult. Our Simple Online Planner is designed specifically to provide you with an alternative way of considering funeral arrangements at your time of need.


Simple Pre-Planning Form
I am planning for:
Your Contact Information
Name:*
Email:*
Phone:
Personal Information
Name:*
Email:*
Phone:
Address:
City:
State/Province:
Country:
Postal Code:
Place of Birth:
Date of Birth:
Gender:
Citizenship:
Marital Status:
Spouse's Name (Maiden):
Father's Name:
Mother's Name (Maiden):
Religious Preference:
Education
High School:
Number of Years:
College:
Number of Years:
Degree/Major:
Family Information
Survivors:
Up to 250 characters
Preceded in Death by:
Work History
Occupation/Company:
Military Service
Service Branch:
Serial Number:
Date Enlisted:
Rank at Discharge:
Date of Discharge:
Discharge on File at:
Combat Action:
Funeral Preferences
Visitation: Public
Private
Funeral Service: Public
Private
Committal: Public
Private
Family Gathering: Public
Private
Final Disposition: Burial
Cremation
Mausoleum Entombment

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414 Gaston Avenue, Fairmont, WV
(304) 363-2570

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