Surname

First names

Their name

Relationship

Their phone

Solicitor name

Solicitor address

Solicitor phone

My usual Doctor is

Doctor's practice

Preferred Graham's Funeral Director

Prearranged funeral
YesNo

Prepaid funeral
YesNo

Prepaid with

Venue for service

Casket preference

Name of Preferred Celebrant/Clergy/Priest

Burial or Cremation
BurialCremation

New plot required
YesNo

Plot No

Depth
YesNo

Reopen plot of the late

Preferred Cemetery/Crematorium

Ashes Placement
Inter (Plot as above)Scatter

Scatter location

Flowers
Casket SprayArrangementFarewell petals

Flower Type

Funeral Notices to be placed in the following publications

In lieu of flowers (if desired) donations to

Who would you like to speak at the service

Who would you like to do a reading at the service

Special readings you would like included

Your music choices

Pallbearers names

Pallbearers names

Any other special instructions

Names, addresses and phone numbers of next of kin to be informed

Others you would like contacted