| Details of Person Completing Form |
| Name: |
|
| Address: |
|
| Phone Number: |
|
| Relationship to Person Arrangements are for: |
|
| Occupation: |
|
| Funeral Arrangements |
| Service Type: |
Cremation:
Burial:
|
| Cemetery / Crematorium: |
|
| Pre-owned Grave /Cremation Deed: |
|
| Number: |
|
| Doctor's Details |
|
| Name: |
|
| Address: |
|
| Service Details: |
|
| Church (Name): |
|
| Address: |
|
| Graveside Only: |
|
| Chapel: |
|
| Crematorium: |
|
| No Service: |
|
| R.S.L. Service: |
Yes:
No:
|
| Flag: |
|
| Masonic Service: |
|
| Other: |
|
| Second Service (if applicable) |
| Graveside: |
|
| Crematorium: |
|
| Private Family Attended Cremation: |
|
| Private Cremation (no
attendance): |
|
| Private Burial (no
attendance): |
|
| My Religion Is: |
|
| Clergy: |
Priest:
Minister:
Celebrant:
Other:
|
| Name: |
Family Obtain:
Funeral Director to Obtain:
|
| Phone: |
| Catering: |
|
| Floral Arrangements: |
|
| Mourning Coaches /
Limousines: |
|
| Viewing: |
|
| Clothing (for deceased): |
|
| Coffin Selection: |
|
| Coffin Bearers (if
applicable): |
|
| Organist: |
Yes:
No:
|
| Organist Name (if
applicable): |
|
| Hymns: |
|
| Music: |
|
| Readings: |
|
| Other: |
|
| People to Notify: |
|
| Press
Notices |
| Standard: |
|
| After Service: |
|
| No Notices: |
|
| Paper: |
Herald Sun:
Age:
Both:
|
| Other Paper: |
|
Ending (if applicable):
e.g.: No flowers by request /
Donations to...) |
|
Asked?