Online Pre-Planning Form

With online arrangements, you can take your time selecting the arrangements which are best for your preferences and budget. Explore different options until you find those that are right for you.

Information about whom this plan is for:
First Name: 
Middle Name: 
Last Name: 
Gender: Male   Female 

Your Information:
First Name: 
Middle Name: 
Last Name: 
Daytime Phone: 
Evening Phone: 
Email: 
Password: 
Next

Biographical Information:
Birth Date: 
Birth Place: 

Family Information:
Marital Status Married   Single   Widowed   Divorced 
Name of Spouse: 
Marriage Date: 
Maiden Name of Spouse: 
If deceased, date of death: 
Father's Name: 
Address - If Living: 
City: 
State: 
Zip/Postal Code: 
Mother's Name: 
Address - If Living: 
City: 
State: 
Zip/Postal Code: 
Siblings (Living): 
Siblings (Deceased): 
Children (Living): 
Children (Deceased): 
Grandchildren (Living): 
Grandchildren (Deceased): 
Great Grandchildren (Living): 
Great Grandchildren (Deceased): 

Education & Work:
Highest Level of Education: 
School Name: 
School Location: 
Occupation: 
Company: 
Years at Company: 

Military Service:
Military Service Yes   No 
Branch of Service: 
Years Served: 
Next

Please list any musical selections 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 interests or hobbies you would like to include in your services.
Please list any special themes you would like to include in your services.
Please list any specific foods or beverages you would like to make available to your family and guests at the services.
Is there a special story, personal thank you, or message of hope you would like to be read during your services?
Submit

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Make these important decisions in the privacy of your own home with our simple online pre-planning form. You can take your time, too; you'll be creating a log-in name and password, so you can save your work and come back to it anytime.

Please know we are also always willing to meet with you in person by appointment to discuss pre-planning. Simply call the funeral home office at (317) 831-2080.

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Information about whom this plan is for:

Your Information:

Biographical Information:

Family Information:

Education & Work:

Military Service:

Visitation Options:

Funeral Service Options:

Reception Options:

Would you prefer burial or cremation:

Final Disposition:

Would you prefer to include a graveside/committal service?

What We Do

Grief & Healing

About Us

Resources

Plan Ahead

Obituaries

Contact Information

Find a Tribute

Recent Tributes

Plan Ahead

Online Pre-Planning Form

Make these important decisions in the privacy of your own home with our simple online pre-planning form. You can take your time, too; you'll be creating a log-in name and password, so you can save your work and come back to it anytime.

Please know we are also always willing to meet with you in person by appointment to discuss pre-planning. Simply call the funeral home office at (317) 831-2080.

Success!

Login Invalid!

Information about whom this plan is for:

Your Information:

Biographical Information:

Family Information:

Education & Work:

Military Service:

Visitation Options:

Funeral Service Options:

Reception Options:

Would you prefer burial or cremation:

Final Disposition:

Would you prefer to include a graveside/committal service?

What We Do

Grief & Healing

About Us

Resources

Plan Ahead

Obituaries

Contact Information

365 Days of Grief Support