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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