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Cemetery Instructions:
                                    My preferences for the Service:                                                                            The following are my wishes regarding my final resting place



        Clergy of Officiant:                                      or        Funeral Home to Recommend

        Name:                                                                                                                   Name of Cemetery:

        Contact Information:                                                                                                    Address:

          Notes:                                                                                                                City:

                                                                                                                                Province:



                                                                                                                                Property, crypt or niche owned?
                                                                                                                                Is yes, specify location written on cemetery purchase agreement:

        Personal Items:

        Eyeglasses:           Remove                              Leave On

        Jewellery:            Remove                              Leave On

        Clothing:             Purchase at the time                Selected                                                      Final resting place:        Earth burial                          Mausoleum

        Pallbearers (Six are required):                                                                                                                       Interment following Cremation

        1.                                                  2.                                                                                                Other

        3.                                                  4.
                                                                                                                                Marker or Monument:
        5.                                                  6.

                                                                                                                                Purchased:                     Yes                      No

        Musical Tributes:
                                                                                                                                Monument company name:
        Soloist:
                                                                                                                                If no, inscription instructions:
        Organist/Pianist:

        Congregational Hymns:                                                                                                   Reception location:        Reception Suites


                                                                                                                                                                     Place of Worship

                                                                                                                                                                     Other
        Favourite Genre or Artist:

        Community Organizations or Clubs that may participate:                                                                       Reception to follow Cemetery

                                                                                                                                     Reception to follow Service


                                                                                                                                  Notes:








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