Online Preplanning Form

Online Preplanning Form

Pre-Planning Form

Who is the Plan For?

First Name

Middle Name

Last Name

About You

Phone Number

Family, Work, & Education

Family Information

Fathers Name

Fathers Address

Mothers Name

Mothers Address

Marital Status

Spouse's Name

Spouse's Maiden Name

Place of Marriage

Date of Marriage

Additional Family Members

Siblings (alive)

Siblings (deceased)

Children (alive)

Children (deceased)

Grandchildren (alive)

Grandchildren (deceased)

Great-Grandchildren (alive)

Great-Grandchildren (deceased)

Education History

School Name

Highest Levels of Education

School Location

Work History

Occupation

Company Name

Years at Company

Did this person serve in the military?

Your Wishes

Visitation Options

Funeral Service Option

Reception Options

Would you prefer burial or cremation?

Final Disposition

Would you prefer to include a graveside/committal service?

Your Preferences

Please list any musical selections you would like to include in your services.

Please list any special themes you would like to include in your services.

Please list any poems, religious texts, or readings you would like to be read at your services.

Please list any specific foods or beverages you would like to make available to your family and guests at the services.

Please list any interests or hobbies you would like to include into your services.

Is there a special story, personal thank you, or message of hope you would like to be read during your services?

SUBMIT

Online Preplanning Form

Online Preplanning Form

Glenpool-Bixby

Okmulgee

Tulsa

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