Our Online Preplanning Guide

Making one's own funeral arrangements is something most people choose to avoid until it's too late. Yet, having clarity for oneself and one's family has several important benefits: Your wishes will be respected and carried out. Your family will know exactly what's required without second guessing one another. Payment can be made in advance at a fixed cost, so there will be no unexpected financial burden for others to shoulder.

Vital Information & Funeral Instructions

By completing this form, you'll communicate to us your vital record information and funeral instructions. We encourage you to be as accurate as possible and will confirm and finalize all details with you. Please note that the form is secure and completely confidential. If you have any questions, please don't hesitate to contact us. We're here to help.

Prearrangement Form

First Name:

Middle Name:

Last Name:

Maiden Name:

Address:

City or Town:

State:

ZipCode:

Phone:

Email

Social Security Number:

Birthdate:

Birthplace:

Marital Status:

Spouse's Name (first, middle, last & maiden if applicable):

Father's Name (first, middle, last):

Mother's Name (first, middle, last & maiden):

Level of Education:

Usual Occupation & Industry:

Employer:

Veteran:

I request the following upon my death:

Burial

Cremation

Entombment

Religious Affiliation:

I prefer my services be held at:

I prefer as clergy:

I prefer the following music:

Next of Kin, Executor or Executrix:

Other special instructions:

Next Steps:

File for Safekeeping

Request a Follow-Up Call

Forms submitted to Purath-Strand are encrypted for your security and privacy.

Our Online Preplanning Guide

Vital Information & Funeral Instructions

Prearrangement Form

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