Heritage Funeral Services - Preneed (Advanced Planning)
According to all the surveys, the most important benefit of making funeral arrangements in advance is PEACE OF MIND.
In addition, pre-planning your funeral.…
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Removes the decision-making burden from the shoulders of loved ones at the time of need.
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Assures that your wishes and preferences for funeral services are known.
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Helps settle any differences that may arise within your family about the type and costs of the funeral service.
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Allows you to meet with the funeral director and ask questions about service options.
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Having the opportunity to set aside funds in advance to protect against inflation.
To start pre-planning now, fill out our on-line form below:
Information about person completing the form:
Your Full Name:
Contact Phone 1:
Contact Phone 2:
Email Address:
I am planning for my:
Self
Mother
Father
Spouse
Child
Friend
Relative
Personal Information about person planning for
(Be sure to use their Full Legal Name)
Preneed Full Name:
Sex:
Male
Female
Marital Status:
Married
Never Married
Divorced
Widowed
Date of Birth:
Place of Birth:
Personal Address information
(Be sure to complete as much as possible)
Street Address 1:
Address line 2:
City:
State:
VA
MD
DC
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MA
MI
MN
MS
MO
MT
NE
NY
NV
NH
NJ
NM
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
WA
WV
WI
WY
Zip Code:
Personal Family information
Spouse's Full Name:
Spouse's Maiden Name:
Mother's Name:
Mother's Maiden Name:
Father's Name:
Funeral Preferences
I Prefer The Funeral Service To Be:
Public
Private
Place of Service:
Name Of Cemetery:
City:
State:
VA
MD
DC
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MA
MI
MN
MS
MO
MT
NE
NY
NV
NH
NJ
NM
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
WA
WV
WI
WY
Grave or Niche Location:
Religious Denomination:
Church Affiliation:
Clergyman
Elder
Priest
Rabbi
Reader
Reverend
Name:
Viewing For Family:
Yes
No
Viewing For Friends:
Yes
No
I Prefer:
Burial
Cremation
Other
Option:
Traditional Burial Service
Graveside Burial Service
Immediate Burial
Traditional Cremation Service
Memorial Cremation Service
Graveside Cremation Service
Direct Cremation
Funeral Preferences *
Musical Selections To Be Played
Track 1:
Track 2:
Track 3:
Track 4:
Musical Selections To Be Sung:
Song 1:
Song 2:
Song 3:
Song 4:
will supply cd or tape for service
Favorite Bible Passages:
Favorite Literature Or Poems:
Favorite Flower(s):
Favorite Flower Color:
Final Disposition
Preference For Final Disposition Is:
Example: Ground Interment at ABC Cemetery 1151 Mitchell Ave
Grand Rapids, MI
A cemetery plot is owned at this cemetery
Obituary Information
Survivor Name
Relationship
Person(s) To Finalize Arrangements At Time Of Death
Name:
Relationship:
Contact Phone #(s):
Address:
Second Contact:
Relationship:
Contact Phone #(s)
:
Address:
Special Instructions
Other Information:
People To Contact:
Etc:
Please Call Me
Tell Me How To Pre-Pay Expenses
Keep Information On File
Heritage Funeral Services - “A Name Honoring Timeless Traditions”
1010 East Brambleton Ave Norfolk, Virginia, 23504
Phone:(757) 622-1016 Fax:(757) 622-2262
© 2009 Heritage Funeral Services Norkfolk Virginia