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110 S. West St. ~ Perryville, MO
573-547-2566

East Perry Chapel
573-824-5240

Planning Aheadů.It Just Makes Sense!

The reasons why people plan ahead are clear. The benefits of advance planning include:

Emotional. Planning your final arrangements in advance relieves your loved ones of unnecessary concern when their needs are greatest.

Allows you to reflect your wishes. Decisions won't be left to someone else's uninformed judgment of what you might have wanted.


Puts you in control.
Eliminating any potential quarrels between family members.


Financial. No one in your family will be thrust into the situation of shouldering the responsibility of unexpected final expenses.


We can provide the guidance and expertise to help you make informed decisions. Plans can be tailored to suit individual needs. Payment plans are available as well. 

The following information will up us with your advanced funeral plans.

 

Personal Information

Name (first, MI, last)
Marital status
Social Security#
Date of Birth
Place of Birth
Address
City
County
State
Zip
Phone
E-mail
Spouse's Name: 
Spouse's Maiden Name:
Place of Marriage:
Date of Marriage: 
Father's Name: 
Mother's Name:
Mother's Maiden Name: 
Work/Education History
Education (0-12):     College 1-5+:   
Occupation:
Business:
Company: 
Military Record
Branch of Service:
Serial Number: 
Date Enlisted:
Rank at Discharge: 
Date Discharged: 
Discharge On File At:
Copy of Discharge Papers: Yes  No
Name of Wars:
Person in Charge:
Address:
Phone:
Insurance Information: 
Funeral Service Request
Place of Service
Funeral Home
Address:
Phone:
Place of Visitation:
Religious Denomination:
Place of Worship:
Lodge/Union:
Person in Charge of
Final Arrangements
Disposition Request
Cemetery:
Address:
Phone:
Section:
I have made a last will and testament: Yes   No
Location:
Other Instructions: 
Memorials/Donations to Charity:
Please select one of these options: