Free Pre-Planning

Preplanning can eliminate any confusion about ones wishes. It makes sense to plan for the inevitable now.  Mayer Mortuary has no membership fees, and no preplanning charges. Filing this information with Mayer Mortuary is free. All information is kept in our offices in strict confidence, and not shared with any other companies.
Funeral Arrangement for:
1. Name - First (Given)
2. Middle
3. Last (Family)
4. Date of Birth (mm/dd/yyyy)
5. Sex
Male Female
6. Tel. No.
( )
State of Birth
Social Security No.
Military Service
Marital Status
Highest Education Completed
Race

Hispanic - Please Specify
Yes: No

Occupation


Kind of Business


Years in Occupation


Usual Residence
Residence - (Street and Number or Location)
City


County


Zip Code


Years in County


State or Foreign Country


Informant
Name


Relationship


Mailing Address (Street, City, State, Zip)


Spouse and Parent Information
Name of Surviving Spouse - First
Middle
Last (Maiden Name)
Name of Father - First
Middle
Last
Birth State
Name of Mother - First
Middle
Last (Maiden Name)
Birth State
Final Resting Place







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