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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:

 
Corinne Guerin Trahan
Born: 2/6/1917
Died: 8/16/2017
Doris Fuller
Born: 11/24/1930
Died: 8/15/2017
Mary Davis
Born: 10/9/1932
Died: 8/11/2017
Joseph Arthur "Joey" Boudreau, Jr.
Born: 2/29/1960
Died: 8/9/2017
Albert R. Ellis, Jr.
Born: 9/24/1929
Died: 8/8/2017
Charles P. Raborn, M.D.
Born: 8/21/1933
Died: 8/5/2017
Lawrence Durant
Born: 8/8/1937
Died: 8/3/2017
Elmo Patureau, Jr.
Born: 2/12/1943
Died: 7/28/2017
Wesley Griffith
Born: 12/17/1997
Died: 7/28/2017

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