Pre-Plan

Funeral planning has become a standard business procedure which should be considered in the same category as making a will, purchasing life insurance and funding higher education. Planning does not establish or require payment and payment is not accepted until services are rendered.

Name

Email Address

Phone Number

Address (Street, City, State, Zip Code)

County

Birth Date

Birth Place (City & State)

Occupation

Marital Status

If married, Date & Place of Marriage

Spouse (Wife's Maiden Name)

Physician

Years of Education

Veteran? (Branch of Service)

Father's Name

Mother's Name (Maiden Name)

Next of Kin (Relationship)

Next of Kin Address & Phone Number

Place of Service

Clergy

Graveside By

Music (Requests, Vocalist, Musician)

Visitation (Public or Private)

Type of Disposition & Place of Disposition

Block

Lot/Section/Tier

Grave(s)

City & State

Casket/Cremation Container

Outer Burial Container/Urn

Bearers

Surviving Relatives (Name, Relationship, City & State)

Biographical Information (Details of life, career, church, organization membership, etc.)

Insurance

Personal Request (Clothing, Jewels, Flowers, Memorial Contributions, Etc.)

8 + 15 =

"Creating Precious Memories"

BARNESVILLE

149 Mill St Barnesville, GA 30204
Phone: 770-358-2381 Fax: 770-358-6830

THOMASTON

639 Old Talbotton Rd Thomaston, GA 30286
Phone: 706-647-8446 Fax: 706-647-2155