For a Life Remembered, Celebrated, and Cherished
Veterans Funeral Home

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Cremation Packages
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Memorial Jewelry
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Urns
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Earth-friendly Urns
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Funeral Packages
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Green Burial Packages
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Casket Selection
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Earth-friendly Burial Caskets
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Green Cremation Packages
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Grace Reception Center
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Celebration of life, for those choosing cremation...
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About Us
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Contact Us
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Pre-Planning
Home / Pre-Planning

I Am Planning For:
First Name:
Middle Name:
Last Name:
Email:
Address:
City:
State:
Zip Code:
Phone:

Vital Statistics
Marital Status: Social Security #:
Date Of Birth: Place Of Birth:
Spouse's Name: Spouse's Maiden Name:
Place Of Marriage: Date Of Marriage:
Father's Name: Mother's Name:
Mother's Maiden Name:  

Work / Education
Education 0-12: College 0-5+:
Occupation: Business:
Company:  

Military Record
Branch of Service: Serial Number:
Date Enlisted: Rank At Discharge:
Date Discharged: Discharged On File At:
Copy of Discharge Papers: Yes No Name Of Wars:

Funeral Service Information
I Prefer The Funeral To Be: Place Of Service:
Funeral Home: Funeral Home Address:
Funeral Home Phone: Place Of Visitation:
Religious Denomination: Place Of Worship:
Lodge / Union: Person In Charge Of Final Arrange-
ments:

Special Instructions
Flower Preference:
Music Preference:
Casket Bearers (6): 1.
2.
3.
4.
5.
6.
Jewelry Preference:
Glasses Preference:
Clothing Preference:
Other Preference:

Disposition Request
I Prefer: Cemetery:
Cemetery Address: Cemetery Phone:
Cemetery Section: Cemetery Location:
I Have Made A Last Will and Testament: Yes No

Other Instructions
Please list any other instructions you may have:


Memorials / Donations
Please list any Memorials or Donations to Charity that you would like:


Options

Please select one of the options below:

Send information about pre-arrangement
Contact me to set an appointment
Please keep my information on file
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Information
Resources
Cremation Authorization Form
Veteran Benefits and Resources
Railroad Benefits
Grief Support
Getting thru the Holidays
Upcoming Events
Memorial Day Trip to Willamette National Cemetery.
Memorial Day 2008 Speech

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Online Obituaries
Memorial Web Pages