Preplan Online

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Name *

First

Last

Email *

Phone Number *

This Plan Is For... *

Plans Name *

First

Middle

Last

Gender *

Male
Female

Birth Date *

Birth Place *

Marital Status

Married
Single
Widowed

Name of Spouse

Maiden Name of Spouse (If Applicable)

Marriage Date

If deceased, date of death

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Fathers Name

Fathers's Adress (If Living)

Father's City

Fathers Province

Father's Postal Code

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Mother's Name

Mother's Adress (If Living)

Mother's City

Mother's Province

Mother's Postal Code

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Siblings (living)

Siblings (deceased)

Children (living)

Children (deceased)

Grandchildren (living)

Grandchildren (deceased)

Great Grandchildren (living)

Great Grandchildren (deceased)

Highest Level of Education

School Name

School Location

Occupation

Company

Years at Company

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Military Service

Branch of Service

Years Served

Visitation Options

Visitation at funeral home.
I do not wish to have visitation hours.
Visitation at alternate location.

Funeral Service Options

Funeral service at funeral home.
I do not wish to havea funeral service.
Funeral service at alternate location.

If other visitation, please describe.

If other location, please describe.

Reception Options

Reception at funeral home.
I do not wish to have a reception.
Reception at alternate location.

Burial or Cremation

Burial
Cremation

If reception at alternate location, please describe.

Final Disposition

Ground Interment (burial)
Mausoleum Entombment (above ground burial)
Columbarium (for cremation urns)
Ashes returned to family

Please list any musical selections you would like to include in your services.

Please list any poems, religious texts, or readings you would like to be read at your services.

Please list any interests or hobbies you would like to include into your services.

Please list any special themes you would like to include into your services.

Please list any specific foods or beverages you would like to make available to your family and guests at the services.

Is there a special story, personal thank you, or message of hope you would like to be read during your services?

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Contact Our Team

(780) 830-7742

Grande Prairie