727.789.2000

Pre-Arrange 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.


I. Biographical Information
Full Name:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Father's Name:
Mother's Name:
Spouse's Name:
Spouse's Maiden Name:
Your Occupation:
Church Membership:
Lodge or Union Name:

II. Military Record
Veteran:
Branch of Service:

III. Service Preferences
Type of Service:
Disposition:

Miscellaneous Notes and Instructions:

Please select one of the options below:

Please send me information on funeral planning

Please contact me to schedule an appointment

Please place my information on file


 

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727.789.2000 | 1750 Curlew Road | Palm Harbor, FL 34683 | Fax: (727) 789-1741 | Email: info@curlewhills.com