Pre-Planning On-Line 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 to the right.

Biographical Information

Full Name:
Address 1:
Address 2:
City:
State and Zip

Telephone Number:
(xxx) xxx-xxxx
Email:
Date of Birth:
(Month / Day / Year)
City of Birth:
State of Birth:
Highest Education Level:
Grade / Years of Education Completed:
Social Security Number: For security reasons we will contact you.
Residence History:
Marital Status:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse'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:

Military Record

Veteran:
Branch of Service:
Serial Number:
Date of Enlistment:
(Month / Day / Year)
Date of Discharge:
(Month / Day / Year)
Rank at Discharge:
Location of a Copy of Discharge
(DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

Service Preferences

Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference
(for ground Burial):
Cemetery Name:
Cemetery Location:
Cemetery Property is in the name of:
Miscellaneous Notes and Instructions:
Please select one or more options below:

Please send me information on funeral planning.
Please contact me to schedule an appointment.
Please place my information on file.

Houghlin-Greenwell Funeral Home and Cremation Services 1475 New Shepherdsville Road Bardstown, KY 40004 (502) 348-8858 info@houghlingreenwell.com

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