McKown Funeral Home

How to Pre-Arrange Your Funeral

Simply complete as much of the information below as possible. The "Personal Information", "Work and Education History" and "Military Service" is often the most difficult information to obtain at the time funeral arrangements are being made. The information requested on this form is used for death certificate information, newspaper obituaries and to fulfill family wishes. This information will be kept on file at McKown Funeral Home and can be provided to your family when needed.


I am planning for
Personal Information
Full Name (First Middle Last):
Date of Birth:		Place Of Birth:

Address:		City:
County:	State:	Zip:
Phone:	E-mail:

Spouse's Name:		Spouse's Maiden Name:
Place of Marriage:		Date of Marriage:
Father's Name:
Mother's Name:		Mother's Maiden Name:
Family Members (ex: Son - John (Jane) Doe):

Work/Education History
Education Level:	Primary:
	Secondary:
Occupation:
Business:		Industry:
Company:		Number Of Years:

Military Service
Service Branch:		Serial Number:
Date Enlisted:		Rank At Discharge:
Date Discharged:		Discharge On File At:
Name Of Wars:

Funeral Preferences
I Prefer My Funeral Service To Be
Place Of Service:
Religious Denomination:
Place Of Worship:
	Name:

Memorialization Instructions

Musical Selections To Be Played
Will Supply CD/Tape
Favorite Bible Passages:
Favorite Literature Or Poems:
Favorite Flower(s):
Favorite Flower Color:

Final Disposition
Preference for final disposition is:	Ground interment with
	Cremation with
Preference of cemetery:
If Other, Please Specify:
Address:
A is owned at the above location

Special Instructions

Person To Finalize Arrangements At Time Of Death
Name:
Relationship:
Address:
City:	State:	Zip:
Phone:	E-mail:

	Send me information on pre-arrangement
	Contact me to set an appointment
	Keep my information on file

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