Eagle Funeral Homes in Jonesville, Hudson, Waldron, Morenci and Hillsdale, Michigan.

Making Your Pre~Arrangements On~Line

The loss of someone close is an emotional time for any family, one fraught with grief and stress. The on-line pre-planning form below was designed to try and lesson their burden by allowing you to gather basic information about yourself and your desired funeral service.

Personal Information

Name (First/MI/Last):

Address:

City:

County:

State/Zip:

Email:

Phone:

Social Security Number:

Date of Birth:

Place of Birth:

Marital Status:

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:

College

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:

Special Instructions

Flower Preference:

Music:

Casket Bearers (6):

Jewelry:

Glasses:

Clothing:

Other:

Disposition Request

I Prefer:

Cemetery:

Address:

Phone:

Section:

I have made a last will and testament:

Yes No

Location:

Other Instructions

Memorials/Donations to Charity

Please Select One:

Send information about pre-arrangement.

Contact me to set an appointment.

Please keep my information on file.

For more information:
VanHorn Eagle Funeral Homes
Email: info@eaglefuneralhomes.com