Online Pre-Arrangment Form

Please fill out as much information as you you'd like. If you prefer not to fill out the entire form, provide us minimally with your name and a way to contact you so we can set up further arrangements with you in person. Thank you for your interest in McHatton-Sadler Funeral Chapels.

Personal Information
I am planning for:  
My first name:  
My last name:  
My middle name:  
E-mail:  
Street address:  
City:  
County:  
State:  
Zip Code:  
Phone:  

Whom You Are Planning For
Last name:  
First name:  
Middle name:  
Gender:   Male Female
Marital status:  
Place of birth :  
Spouse's full name:  

Spouse's maiden name:
(if applicable)

  
Place of marriage:  
Date of marriage:  
Father's full name:  
Mother's full name:  
Mother's maiden name:  

Work & Education
Years of education:   Primary:
College:
Usual occupation:
(most of life)		  
Kind of business:  
Company:  

Military Service
Branch of service:  
Date enlisted:  
Rank at discharge:  
Date discharged:  
Discharge on file at:  
Copy of discharge papers:   Yes No
Wars served in:  

Funeral Service Information
Place of service:  
Name of funeral home:  
Funeral home address:  
Funeral home phone:  
Place of visitation:  
I prefer the funeral service to be:   Public Private
Viewing for family:   Yes No
Viewing for friends:   Yes No
Religious denomination:  
Place of worship:  
Lodge / union:  

Person(s) to Finalize Arrangements at Time of Death
Check here if this information is the same as the person filling out this form
Full name:  
Street address:  
City:  
County:  
State:  
Zip code:  
Phone:  

Special Instructions
Flower preference:  
Music:  
Casket bearers (6):   (1):
(2):
(3):
(4):
(5):
(6):
Jewelry:  
Glasses:  
Clothing:  
Other:  

Disposition Option
I prefer:  
Cemetery:  
Address:  
Phone:  
Section:  

Other Information or Special Instructions
Please list any other instructions or information you would like us to have:



Memorials & Charities
Please list any other instructions or information you would like us to have:



Options
Please select one of the options:
Please send me information about pre-arrangement.
Contact me to set an appointment.
Please keep my information on file.


For your security:
Please type the six numbers you see in the box to the right
   




 

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