Pre-Planning Registration

From the privacy of your own home you can select the type of memorial service that best reflects your lifestyle and personal interests. Contacting us, you may select your casket and vault in advance.

You may also decide to pay for your funeral in advance, protecting against any future cost increases and also serving as a tax shelter. We have many funding plans available to make your pre-planning as easy and convenient as possible.

We will maintain a copy of your pre-arrangement requests in confidence at our homes, and will forward a copy to you for your records. There are several different areas of information that are important in each service that we handle. Vital statistics, military involvement, church and civic memberships, family members, and even your hobbies or special interests can all be recorded below. If you have any questions or need any help with completing any of these areas, please feel free to contact us at (270) 965-0110

Pre-Arrangement Details

Personal Information

Full Name

Street

City

State/Province

ZIP/Postcode

Telephone

Date of Birth

SSN #

Email Address

Place of Birth

Father's Name

Mother's Name

Mother's Maiden Name

Marital Status

Father's Place of Birth

Mother's Place of Birth

Spouse's Name

Place of Marriage

Spouse's Maiden Name

Date of Marriage

Person who will be in charge of my funeral arrangements:

Admin Name

Admin Address

Admin State

Admin Telephone

Admin City

Admin Zip Code

Branch of Service

Description of Service

Veterans Service Number

Location of Discharge Papers

Rank

Spouse

Daughters

Sons

Grandchildren

Sisters

Brothers

Other Relatives

Place of ServiceFuneral Home, Church, Graveside or other

Clergy

Type of Disposition Entombment

CremationOther

Cemetery Property Owned

YES

Name of Cemetery

Cemetery Preference

Music Selections

Pallbearers

Lodge Society Fraternal Organization

Flowers

Memorial Donations

Obituary InformationList education and place of schooling, wedding date and place, work history and places lived, Clubs, Lodges, Hobbies, Interests, Accomplishments, Community or Private Involvement.

Special Instructions

Please select from one of the options below:

Please Contact me so that I may select my Casket and Vault

Please Forward a copy of my info to me

Please Contact me if info needs clarification

File my Information for Future

I would like Pre Payment options

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