Today, many people are recognizing that funeral pre-arrangement is a demonstration of love and consideration. It is a thoughtful decision that frees the bereaved family from the unnecessary stress of indecision and uncertainty.

We have compiled information for your use in pre-planning funeral arrangements. This will provide a very helpful begining to your peace of mind.

Without cost or obligation, we will also explain how funding the pre-arranged service can protect your resources from impact of inflation through The Wisconsin Funeral Directors Association Master Trust Program, Bank Trust or Pre-need insurance.

          You may begin the pre-planning process online now by filling out the pre-planning form below.

Last Name:

First Name:

Middle Name:

E-mail:

Address:

City:

State:

Zip Code:

Phone:

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:

Education (0-12):

College (1-5+):

Occupation:

Business:

Company:

Branch of Service:

Serial Number:

Date Enlisted:

Rank at Discharge:

Date Discharged:

Discharge On File At:

Copy of Discharge Papers:

Name of Wars:

Place of Service:

Funeral Home:

Address:

Phone:

Place of Visitation:

Religious Denomination:

Place of Worship:

Lodge / Union:

Person in Charge of Final Arrangements:

Flower Preference:

Music:

Casket Bearers (6):

1.

2.

3.

4.

5.

6.

Jewelry:

Glasses:

Clothing:

Other:

I Prefer:

Cemetery:

Address:

Phone:

Section:

Location:

I have made a last will and testament:

Please list any other instructions you may have:

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

County:

Never Married

Married

Divorced

Widow

Widower

Yes

No

Funeral Home

Church

Cemetery

Earth Burial

Mausoleum

Cremation

Yes

No

Send information about pre-arrangement

Contact me to set an appointment

Please keep my information on file