Pre-Plan Online

One of the most caring, loving things you can do for your family is to leave detailed information which permits them to make the funeral service a personal tribute in keeping with the way you wanted. Making funeral arrangements at the time of loss is extremely difficult for those left behind. When the funeral, and sometimes even payment, have been arranged in advance, most of the decisions have been made, sparing uncertainty and confusion at a time when emotional stress may make decisions difficult. Would it be better in your situation to plan ahead, calmly and sensibly, when you are in a normal mental and physical state, when you have full ability to reason, and when you are able to discuss arrangements with your family? You may file vital statistics and preferred funeral information with us on-line by filling in the form below.

The following questions provide the information necessary to prepare a record of your vital statistics to be used for preparing the obituary and any legal documents. The information you submit is being transmitted via encrypted email, will be held in the strictest confidence, and will not be shared with anyone.

I. Biographical Information

Your Name:

Your Email:

Contact Phone Number:

Family Online Contact:

Chapel Location:

All of the following questions will relate to the person for whom this prearrangement is being made.

Full Name:

Address

Address:

City:

Country:

State/Province:

Zip/Postal code:

Telephone Number:

Email Address:

Marital Status:

Date of Birth:

City Of Birth:

State of Birth:

Highest Education Level:

Please list schools, years of attendance and any activities or clubs:

Residence History, where you were born, raised, relocated and retired (if applicable):

Father's Name:

Fathers City of Residence unless deceased:

Mother's Name:

Mother's City of Residence unless deceased:

Mother's Maiden Name:

Spouse's Name:

Spouse's Maiden Name:

Survivors' Names (Spouses) and Cities of Residence i.e. John (Jane) Jones of Morris, Il:

Relatives Who Have Preceded You In Death:

Your Occupation:

Business Type:

Company Name:

Church Membership:

Lodge or Union Name:

Clubs, Organizations or Hobbies you are proud of:

II. Military Record

Veteran:

Branch of Service:

Serial Number:

Date Enlisted:

Date of Discharge:

Rank at Discharge:

Location of a Copy of Discharge (DD214) or email to discharge@fredcdames.com:

Time of Military Service:

Military Honors at Graveside:

Flag Preference for Service:

There is no substitute for a discussion with a funeral director as it relates to the impact of making a healthy grief recovery for your family and the selection of a service. With that said, most families have an idea of what they would prefer. Please indicate below what best describes your thoughts for arrangements.

III. Service Preferences

Type of Service:

Detailed Service Description:

Visitation Hours:

Funeral Merchandise: There is a variety of products and manufacturers for Caskets, Rental Caskets, Outer Burial Containers, Burial Vaults, Cremation and Personalization Products available at almost every price point. Selection is always a personal decision and should be made with financial considerations at heart, personal preference and good information.

Person in Charge of Arrangements:

Officiating Clergy:

Pallbearers (if applicable):

Flower Preference:

Music Selection(s):

Jewelry:

Glasses:

Cemetery Name:

Cemetery Location:

The cemetery Deed or Property Ownership is in the name of:

Your Grave number, Lot number, Section Number and you will be next to:

Funeral Luncheon? Thinking about a gathering afterwards?:

Miscellaneous Notes, Instructions or anything you wish to add:

Please select one of the options below:

Please email me a cost estimate based on my preferences indicated above

Please contact me by phone to schedule an appointment

Please place my information on file and I will contact you when we are ready

Please wait