Preplanning/ Prefunding

Varcoe Thomas Funeral Home of Doylestown Many of us plan ahead for the events we anticipate. We plan for weddings, higher education, vacations, and other significant expected life events. Understanding the benefits of preplanning has prompted many to take the step to plan their own arrangements.

Peace of Mind - Many who have undergone the emotional strain of arranging a funeral within hours of losing a loved one have made the choice to pre-plan their own funeral. Doing so lifts the burden from their loved ones by relieving decision-making pressure at a time of grief and emotional stress.

Personal Choice - Funeral arrangements are a deep personal choice. Pre-planning provides you with the time needed to make practical, detailed decisions that reflect your standards, lifestyle, taste and budget. And we assure you and your family that the choices you make will be carried out as planned.

Lower Costs - When you finalize your plan, we can advise you of the total cost. Setting aside funds for your plan protects you or a loved one against escalating funeral costs. By locking in today's funeral costs and ensuring that the necessary funds are set aside, you help relieve yourself of unnecessary future worry and your survivors of an unexpected expense.

If you would like to establish a plan with us, please fill out the form below. This form is intended to help gather information that we need in the event of a death. It is also intended to help clarify your wishes and desires. Please note that filling out this form and sending it to us does not obligate you financially or otherwise. After filling out this form, we encourage you to speak with us so we can go over your information. We will be happy to call you at your convenience.

YOUR INFORMATION
First:
Middle:
Last:
I am planning for my:
E-mail:
Daytime Phone:
Evening Phone:
Fax (If available):

INFORMATION ON PERSON PLANNING FOR Be sure to use their Full Legal Name
First Name:
Middle Name:
Last Name:
Sex:
Marital Status
Education Level:
Date of Birth:
Place of Birth:
Street Address:
Mailing Address:
City:
State:
Zip Code:
Is Home Address Inside City Limits:
Spouse's Full Name:
Spouse's Maiden Name:
Mother's Name:
Mother's Maiden Name:
Father's Name:

MILITARY SERVICE
Service Branch:
Serial Number:
Place Enlisted:
Date Enlisted:
Place Discharged:
Date Discharged:
VA Claim or File #:

FUNERAL PREFERENCES
Place of Service:
Name of Cemetery:
City:
State:
Grave or Niche Location:
Religious Denomination:
Church Affiliation:
	Name:
Viewing For Family:
Viewing For Friends:
I Prefer:
For the family selecting cremation, what disposition of the remains would you prefer:

Musical Selections To Be Played:	1. 2. 3. 4.
Musical Selections To Be Sung:	1. 2. 3. 4.
Favorite Bible Passages:
Favorite Literature Or Poems:
Favorite Flower(s):
Favorite Flower Color:

FINAL DISPOSITION
Preference For Final Disposition Is:	Example: X Cemetery 123 Main St<br> Doylestown, PA 18901<br> Cemetery plot is owned

OBITUARY INFORMATION
Survivor Name	Relationship	City	State

PERSON(s) TO FINALIZE ARRANGEMENTS AT TIME OF DEATH
Name:
Relationship:
Address:
Daytime Phone: Evening Phone:
Second Contact
Name:
Relationship:
Address:
Daytime Phone: Evening Phone:

ORGANIZATIONS/MEMBERSHIPS

I wish for Memorial Donations to be made to:

OTHER INFO/CONTACTS/SPECIAL REQUESTS

Please Call Me
Tell Me How To Pre-Pay Expenses
Keep Information On File
Send Me a Copy of My Information

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Preplanning/ Prefunding

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