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Funeral Pre-planning guide: Print this page and fill it out for the sake of your family!!

FUNERAL PREPLANNING GUIDE

 

BETHEL HAWLEY BAPTIST CHURCH

www.bethelhawley.com

Rt. 1 Box 58

Nash, OK.  73761

 

No one knows when they will die and most of our families are unprepared and in a state of shock when it happens.  To help them through this difficult time, this guide has been developed.  It is merely a way to share with them your preferences concerning your own funeral.  It is not a binding document, merely a statement of your preferences.  Please take time to fill this out and give a copy to the church, your family and keep one for yourself.  It may be revised at any time.

 

NAME:  ___________________________________  Date of Birth: _______________

 

I.          FUNERAL ARRANGEMENTS:

            Funeral Home: ________________________________________________

            Preachers: ____________________________________________________

            Musicians: ____________________________________________________

            Special Music: _________________________________________________

            Hymns: _______________________________________________________

                        ________________________________________________________

            Favorite Scriptures/Poems: ________________________________________

                        ________________________________________________________

                        ________________________________________________________

            Casket Bearers:  1. ________________________2. _____________________

                        3. __________________________4. ___________________________

                        5. __________________________6. ___________________________

            Honorary Casket Bearers: 1. __________________2. ____________________

                        3. __________________________4. ___________________________

                        5. __________________________6. ___________________________

            Alternates: ______________________________________________________

 

II.        TYPE OF SERVICE:

                        Preferred Place of Service ______________________________________

_______ Casket Open beforehand and closed following the service

                        _______ Casket Closed at service

                        _______ Casket open both before and afterwards

                        _______ Cremation

                        _______ Family only service

                        _______ Graveside service only

                        _______ Location of service __________________________________

                        _______ Location of cemetery _________________________________

                        _______ I already own a burial plot at ___________________________

III.       FLOWERS & MEMORIAL GIFTS:

                        _________ I prefer memorial gifts given to:

1.      ___________________________________

2.      ___________________________________

3.      ___________________________________

                        _________ I wish the giver to select their own memorial

                        _________ I prefer both flowers & memorials

                        _________ I prefer only flowers

                       

IV.       LEGAL INFORMATION:

                        _________ I have a "Living Will" and a copy of it is found at:

                                                _____________________________________________

                        _________ I am an "Organ Donor" and my preferences are found at:

                                                _____________________________________________

                        _________ My "Will" is located at:

                                                _____________________________________________

 

V.        MISC.

            You may use the following space to explain or detail any additional information you wish for your family to know at this time.  You may also wish to write your own obituary below or attach it to this form. 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

SIGNATURE: ________________________________________________________

DATE: ______________________________________________________________

WITNESS: (if you wish) ________________________________________________

(You may revise this guide at any time by contacting the church)

7/2006

PERSONAL INFORMATION

 

The following information will be needed by the Funeral Home to fill out your Death Certificate for the State of Oklahoma.  Use the back if needed.

 

Place of Birth: ________________________________________

Father's Full Name: ____________________________________________

Mother's Full Name: ____________________________________________

Your Spouses Full Name: ________________________________________

Date & Place of Marriage: ________________________________________

Brothers & Sisters: _____________________________________________

                             ______________________________________________

                             ______________________________________________

                             ______________________________________________

                             ______________________________________________

Your children's Names & Spouses:

                             ______________________________________________

                             ______________________________________________

                             ______________________________________________

                             ______________________________________________

                             ______________________________________________

                             ______________________________________________

Total Number of Grandchildren: _______________________________

Total Number of Great Grandchildren: __________________________

Education:   High School & Year of Graduation ______________________

                   College or Other school & Year _________________________

Military Service:     Branch ______________________________________

                             Years of Service ______________________________

                             Place of Service ________________________________

                             Highest Rank __________________________________

Family Members Deceased:

          Name                                                 Date of Death

________________________________________      ____________________

________________________________________  ____________________
________________________________________  ____________________
________________________________________  ____________________
________________________________________  ____________________
________________________________________  ____________________
________________________________________  ___________________
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