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Please fill out and submit the form below. Filling out this form will help you begin to think about the important information used to make arrangements, information we do not think about on a daily basis. We will contact you to schedule an appointment and follow through on all your funeral wishes.

The Numerous Benefits of Pre-Arranging Your Funeral:

o simplifies the process
o fulfills your wishes while you are still able to make them known
o guarantees the funeral price
o relieves your family of financial burden,
o allows you to pre-finance your funeral with pre-payment options
o stabilizes funeral costs with today’s economy


Pre-planning your funeral is not only economical but it is a thoughtful way of saving your family from added grief and tribulations during a time of much confusion and uncertainty. Preplannig your funeral not only saves you and your family money by locking in on low funeral costs, it also takes the financial pressure off your family while fulfilling your own funeral wishes.


Dear Friends and Family,

It is my hope in planning my funeral that it will be helpful for my family and friends. My answers to the following questions will enable you to organize a personalized funeral that will help you remember me as I was and in so doing will assist you in your grieving. Remember the struggles, emphasis the love we shared and celebrate our good times together and I will be with you always.

I would like to leave the following spiritual message and have the following personal religious convictions expressed at my funeral.



Some of the accomplishments I feel good about are:

Some of my fondest memories are:

The people that have had the greatest effect on my life, are:

My Favorite Scripture is:

My favorite quote is:

My Favorite Music is:

My Hobbies are or have been:

The people I would like to say goodbye to are:

If I could live life over again I would:

A. I would spend less time:

B. I would spend more time:

If I could do anything before I die, I would:

The things I always wanted to do yet did not are:

The behaviors and attitudes that held me back and kept me from getting what I wanted are:

The behaviors and attitudes I admired in others and that I would like to be remembered by are:

The things that gave me enjoyment in life were:

The causes and beliefs I was passionate about are:

The most fun I ever had was:

I was the most proud of:

I would describe myself as:

I would like to say the following to the following People:
1.

At my funeral please do the following:


2.

At my funeral please do the following:


3.

At my funeral please do the following:


4.

At my funeral please do the following:


5.

At my funeral please do the following:


My funeral should be held at:

Display the following items at my funeral:
To Symbolize
To Symbolize
To Symbolize
To Symbolize

My Body should be:
Buried
Cremated
Entombed

And laid to rest at:

Based upon the above information my request for the funeral is:

Congratulations! If you have completed this exercise to this point you have faced and felt a gamut of emotions. It may have been an emotional roller coaster ride, difficult at best. By this time you have already discovered that dying is not the point, living is. You may already be experiencing a greater joy in your aliveness and hopefully this exercise will support you in continuing to live more fully and assist you in realizing the fulfillment of the life you want.

In addition, you have actually completed the instructions for your own funeral, congratulations again. If you would like your instructions placed in a confidential file for future reference and a copy mailed to you, enter your name, address, city and state at the bottom and click Submit.

Date
Name
Address
Address 2
City
State
Zip
Your Telephone Number (for verification purposes only)
Day Evening

Please check appropriate box:
Please Keep on file
Please contact me to set up an appointment


60-62 Prospect Avenue.
Bryn Mawr, Pennsylvania 19010
(610) 525-4336
601 E. Miner Street.
West Chester, Pennsylvania 19382
(610) 696-4812

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