»
Home
»
Office Hours and Directions
»
Pre-Planning
»
Online Obituaries
»
Headstones & Monuments
»
Links & Resources
»
Sample Programs
»
Casket Gallery
»
Vault Gallery
»
Have The Talk of a Lifetime
»
Contact Us
Brochure Downloads
»
Direct Cremation Special
»
Monument Designs
»
Talk of a Lifetime
SPARTANBURG
102 Marion Avenue
P. O. Box 5664
Spartanburg, SC 29304
Telephone: (864) 948-0025
Fax: (864) 948-0016
UNION
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:
Choose State
South Carolina (SC)
Georgia (GA)
Alabama (AL)
Alaska (AK)
Arkansas (AR)
Arizona (AZ)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
Florida (FL)
Georgia (GA)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Massachusetts (MA)
Maryland (MD)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virginia (VA)
Washington (WA)
District of Columbia (DC)
West Virgina (WV)
Wisconsin (WI)
Wyoming (WY)
Zip Code:
Phone:
Email:
I am Making Pre-Planning Arrangements For:
Please Choose One
Myself
Spouse
Life Partner
Mother
Father
Child
Friend
Other Relative
Name Of Person To Finalize Arrangements:
Contact Number:
Pre-Planning Vital Information:
Full Name:
Sex:
Please Choose One
Female
Male
Marital Status:
Please Choose One
Never Married
Married
Divorced
Widow
Widower
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:
Primary
0
1
2
3
4
5
6
7
8
9
10
11
12
College
0
1
2
3
4
5+
Occupation:
Company Worked For:
Military Background
Branch of Service:
Choose One
Army
Navy
Air Force
Marines
Coast Gaurd
Other
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:
Choose One
Funeral Home
Church
Cemetery
Name of Funeral Home:
Funeral Home Address:
Funeral Home Phone:
Place of Visitation:
I Prefer the Funeral Service To Be:
Choose One
Public
Private
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:
Choose
Earth Burial
Mausoleum
Cremation
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
Home
|
Company History
|
Services
|
Pre-Planning
|
Rememberance Events
Online Condolences
|
Headstones and Monuments
|
Links & Resources
|
Contact Us
|
MyAdmin
Copyright © 2008 - 2019 Community Mortuary, Inc. and Arche Designs, LLC. All Rights Reserved.
Developed and Maintained by Arche Designs.