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Chapel of Hope
EASY FUNERAL PRE-PLANNING FORM
 

To be placed in the permanent files of Chapel of Hope.
*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:

 
Ida Seidl
Born: 8/7/1928
Died: 2/23/2017
Jacquelyn Stanfield
Born: 1/20/1928
Died: 2/20/2017
David Bartlett
Born: 8/18/1958
Died: 2/19/2017
Herman Pharr
Born: 6/19/1920
Died: 2/11/2017
Kathryn Presson
Born: 6/28/1928
Died: 2/6/2017
Amanda McGraw
Born: 6/11/1968
Died: 2/5/2017
John McGraw I
Born: 5/6/1962
Died: 2/5/2017
Kenneth Brown
Born: 9/2/1943
Died: 2/3/2017
Odell Winkles
Born: 3/13/1932
Died: 2/1/2017

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Chapel of Hope | 3321 North Dal Paso | Hobbs, NM 88240 | 575-392-5683
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