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Online Pre-Arrangement Form

One of the most caring, loving things you can do for your family is to leave detailed information which permits them to make the funeral service a personal tribute in keeping with the way you wanted.

Making funeral arrangements at the time of loss is extremely difficult for those left behind. When the funeral, and sometimes even payment, have been arranged in advance, most of the decisions have been made, sparing uncertainty and confusion at a time when emotional stress may make decisions difficult.

Would it be better in your situation to plan ahead, calmly and sensibly, when you are in a normal mental and physical state, when you have full ability to reason, and when you are able to discuss arrangements with your family?

You may file vital statistics and preferred funeral information with us on-line by filling in the form below.

Full Name (required)

Address 1 (required)

Address 2

City Name (required)

Province (required)

Telephone Number (required)

(xxx-xxx-xxxx)

Email Address

Date of Birth (required)

City of Birth (required)

Province of Birth (required)

Social Insurance Number

Residence History

Father's Name

Father's City of Residence

Mother's Name

Mother's City of Residence

Mother's Maiden Name

Spouse's Name

Mother's Maiden Name

Survivors' Names and Cities of Residence

Relatives Who Have Preceded You In Death

Your Occupation

Business Type

Company Name

Church Membership

Lodge or Union Name

Veteran

Branch of Service

Date Enlisted

Date of Discharge

Rank at Discharge

Location of a Copy of Discharge

Time of Military Service

Military Honours at Graveside

Flag Preference for Service

Type of Service (required)

Visitation Hours (required)

Casket

Person in Charge of
Arrangements

Officiating Clergy

Casketbearers

Flower Preference

Jewellery

Glasses

Casket Preferences (required)

Disposition (required)

Outer Container Preference (for ground burial)

Cemetery Name

Cemetery Location

The cemetery property is in the name of

Miscellaneous Notes and Instructions

Online Pre-Arrangement Form

I. Biographical Information

II. Military Record

III. Service Preferences

Month	Day	Year

Month	Day	Year

Month	Day	Year