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102 Marion Avenue
P. O. Box 5664
Spartanburg, SC 29304
Telephone: (864) 948-0025
Fax: (864) 948-0016

361 Meansville Road
P. O. Box 1156
Union, SC 29379-1156
Telephone: (864) 427-6055
Fax: (864) 429-8153

PRE-PLANNING

Information About the Person Completing this Form:
Full Name:
Address:
City:
State:
Zip Code:
Phone:
Email:
I am Making Pre-Planning Arrangements For:
Name Of Person To Finalize Arrangements:
Contact Number:
Pre-Planning Vital Information:
Full Name:
Sex:
Marital Status:
Date of Birth:
Place of Birth:
Spouse's Full Name:
Spouse's Maiden Name:
Place of Marriage:
Date of Marriage:
Father's Full Name:
Mother's Full Name:
Mother's Maiden Name:

Work and Education
Education:
Occupation:
Company Worked For:

Military Background
Branch of Service:
Serial Number:
Date Enlisted:
Rank At Discharge:
Date Discharged:
Discharge On File At:
Copy of Discharge Papers:	Yes No
Name(s) of War(s)/Conflict(s) Toured:

Funeral Service Information
Place of Service:
Name of Funeral Home:
Funeral Home Address:
Funeral Home Phone:
Place of Visitation:
I Prefer the Funeral Service To Be:
Viewing for Family:	Yes No
Viewing for Friends:	Yes No
Religious Denomination:
Place of Worship:

Special Instructions
Flower Preference:
Music
Casket Bearers(6):
Jewelry:
Glasses:
Clothing:
Other:

Other Instructions
Please list any other instructions or information you would like us to have:

Disposition Options
I Prefer:
Cemetery:
Address:
Phone:
Section:
I Have Made A Last Will And Testament:Yes No

Contact Options
Please select one of the options below:
Send Information About Pre-arrangement Contact Me To Schedule An Appointment