Funeral Instructions

Family/Friends who will be making funeral arrangements:

_______________________________________________ Phone__________________

Immediate relatives to be notified:

_______________________________________________ Phone__________________

Funeral Home____________________________________ Phone___________________

Church Preference_________________________________ Phone__________________

Officiant________________________________________ Phone__________________

Disposition Preference: Burial______ Cremation______

Family Pick-up______ Ship______ Hold______ Other____________________________

Service(s) to be held at: Mortuary______________________ Church_________________

Chapel________________________________Graveside__________________________

Visitation before Service: Yes ______ No ______ Casket: Opened______ Closed______

Participating fraternal, military or service organizations: ____________________________

_______________________________________________________________________

Obituary: Yes____ No____ Newspapers:_______________________________________

_______________________________________________________________________

Pallbearers (or name of individual who shall select the pallbearers) ___________________

_______________________________________________________________________

Casket: ________________________________Vault____________________________

Flowers (type)____________________________________________________________

Favorite Bible verses/religious passages or literature to be read ______________________

_______________________________________________________________________

Specific requests and/or music to be performed at service___________________________

________________________________________________________________________

Contributions/Memorials (if any) to be made to:__________________________________

Service Leaflet: Yes ______ No ______

Ushers: Friends and Family _______ Mortuary or Church Personnel _______

Display Pictures or Other Memorabilia at Visitation (if one): Yes _______ No ________

Flag (if veteran) Folded______ Draped ______ Given to ___________________________

Specific clothing___________________________________________________________

________________________________________________________________________

Glasses?__________ Jewelry?_________________________________

Cemetery property owned: Yes_____ No ______ Cemetery_________________________

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