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DECIDE WHAT TYPE OF SERVICE YOU WOULD LIKE TO HAVE

1. I would like to have a funeral service, held at a cemetery/crematorium chapel

(delete) followed by an interment/cremation (delete)

2. I would like to have a memorial service after the burial or cremation

3. I would like to have a funeral service held at my own home

4. I would like to be cremated directly with no service

5. I would like to be buried directly with no service

DECIDE ON ALTERNATIVE FUNERAL WISHES

I do/do not (delete) want people to view me before my funeral

I would/would not (delete) like to have a wake before/after (delete) my

funeral

I would like my religious/spiritual belief's traditions followed which are:

.............................................................................................................................

EXISTING PRE-PAID FUNERAL PLAN DETAILS

If you have already purchased a pre-paid funeral plan, note the details

here:

Company/plan name: ................................................................................

Policy number: ................................................................................

Contact details: ................................................................................

Date purchased: ................................................................................

Amount paid: ................................................................................