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Resthaven Gardens of Memory & Funeral Home
EASY FUNERAL PRE-PLANNING FORM
 

To be placed in the permanent files of Resthaven Gardens of Memory & Funeral Home.
*Require fields

Person Completing this Form*:
Relationship*:
Email*:
 
Pre-arrangement Guide For
Full Legal Name*:
(no initials please)
Address:
(no P.O. Box)
City:
State:
Zip:
Date of Birth:
(mm/dd/yyyy)
Place of Birth:
Father's Full Name:
Mother's Full Maiden Name:
Highest Level of Education Completed:
Degree:
Veteran: Yes No
Military Branch:
Dates of Service:
Occupation:
Spouse's Full Name:
(Wife's maiden name, if applicable)
Religious Affiliation/Congregation:
 
Family Member Information

Family Member #1

 
Funeral Arrangement Details
Person in charge of arrangements:
 
Place of service or gathering:
If Other, please specify:

 

Preference for final disposition:
If Other, please specify:
Cemetery:
Disposition of cremated body:
 

In the space provided below, please share any information that would be helpful in creating a meaningful service. (ie. favorite hobbies, places, music selections, poems, scripture, etc.)

Any final thoughts that should be shared?

 

Do you wish to be contacted to discuss the details
of these arrangements, cost or payment options? Yes No

If yes, how should we contact you:
Phone Number:

If no, we will keep this information on file until you or your surviving family requests it.

  security code
Enter Security Code:

 
John Lindau
Born: 2/7/1985
Died: 10/22/2017
William "Bill" Higgins
Born: 5/18/1943
Died: 10/19/2017
Ricky Granger
Born: 11/5/1954
Died: 10/19/2017
Marilyn S. Macmurdo
Born: 6/23/1938
Died: 10/18/2017
Mary Lou Whitaker
Born: 7/28/1928
Died: 10/17/2017
Samuel “Sammy” Angelo Salvato
Born: 8/31/1954
Died: 10/17/2017
Reita Passmore
Born: 8/8/1923
Died: 10/17/2017
Tana Tackett
Born: 8/23/1955
Died: 10/15/2017
Danny Major, Sr.
Born: 3/4/1958
Died: 10/15/2017

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Resthaven Gardens of Memory & Funeral Home | 11817 Jefferson Highway | Baton Rouge, LA 70816 | 225-753-1440
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