Fassbender Funeral Home, Marquette, Michigan

PRE-ARRANGED FUNERALS
Today, more and more people are pre-planning their funerals. Pre-planning, or pre-arranging, is simply taking care of your funeral details before the need arises. These could include whether you would like a traditional funeral or a simple memorial service. A burial or cremation. It also includes making decisions ahead of time on specific items such as place, decorations, people you would like to notify, flowers, clothing and other items important to you.

PRE-ARRANGED FUNERAL QUESTIONAIRE

Full Name:

E-Mail:

Address 1:

Address 2:

City, State, Zip

Phone (with area code):

Birthdate:

Month Date Year

Place of Birth:

Usual Occupation:

Education Grade Level:

Father's Name:

Mother's Name:

Mother's Maiden Name:

Veteran:

Yes No

Marital Status:

Married Widowed Divorced Never Married

Marriage Date:

Month Date Year

Marriage Place:

Spouse:

Contact Person:

Address 1:

Address 2:

City, State, Zip

Phone (with area code):

Preferred Church:

Preferred Officiant:

Disposition Preference:

Burial Cremation Entombment Other

Comments:

Service to be held at:

Mortuary Church Chapel Graveside

Friends calling:

Yes No

Casket:

Open Closed

Participating fraternal, military or service organization:

Obituary:

Yes No

Newspaper(s):

Pallbearers selected by:

Casket:

Vault:

Flowers (type):

Favorite literature or religious passage/verse:

Favorite musical selection:

Specific requests to be performed at service:

Contributions (Name of charity)

Flag (If Veteran):

Folded Draped

Flag given to:

Specific Clothing:

Glasses:

Jewelry:

Cemetery property owned:

Yes No

Cemetery:

Location:

Space
Lot
Vault
Marker

City, State

Survivors:

© 2005 Fassbender Funeral Home, Inc. 906-228-3040 • Fax: 906-226-7106 Serving Marquette, MIchigan

© 2005 Fassbender Funeral Home, Inc.
906-228-3040 • Fax: 906-226-7106
Serving Marquette, MIchigan