Pre Planning

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When you preplan and prepay for your funeral services in advance and by doing so, we guarantee to provide the same services and merchandise in the future at today's prices. We suggest meeting with you personally at our funeral home or in your home, if requested. This allows for individual attention pertaining to your wishes.

We do provide pre-payment, for funeral and cremation arrangements, through our Pre-Need Trust Plan, First Florida Trust, which is fully approved and strictly regulated by the Florida Department of Banking and Financing, within the State of Florida. It is 100% refundable at any time for any reason. Our plan may be written, as an Irrevocable Agreement, to meet Medicaid requirements when applicable.

Personal Information
Planning for:*
Full Name:*
E-mail:*
Address:*
City:*
Country:*
State:*
Zip Code:*
Phone:*
I am:
Full Name (if your plan is for someone else):
Date of Birth:*

(MM / DD / YYYY)
Place Of Birth:*
Spouse's Name:
Spouse's Maiden Name:
Mother's Name:
Mother's Maiden Name:
Father's Name:

Occupational Information
Occupation:*
Business or Industry:

Military Information

Service Branch:
Serial Number:
Date Enlisted:
Date Discharged:
Rank At Discharge:
Place of Service:
War Service:

Informant Information
Last Name:*
First Name:*
Middle:*
E-mail:*
Address:*
City:*
State:*
Zip Code:*
Country:*
Phone:*
Relation to Deceased:*

Final Disposition*
Name of Cemetery/Crematory:
Address:

Service Information
Service Will Be:
Visitation Location:
Service Location:
Concluding At:
Religion:
Place Of Worship:
Clergy to Officiate:
Other Special Instructions (pall bearer names, clothing & jewelry to be worn, items for a memento display, etc.)
Requested Music:
Poems or Passages of Scripture to be read:
Flower Arrangements:
Transportation Requests
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