Arrangement Information "*" indicates required fields This field is hidden when viewing the formArrangement TypeHidden field to be populated with variable passed from previous pageSimple Cremation: $1,375 Transportation of the body (within 50 miles of our facility) Preparation of required documents and authorizations “Worry-Free” Cremation in our secure crematory Alternative container and temporary urn Simple Cremation with Final Goodbye: $1,595 Transportation of the body (within 50 miles of our facility) Preparation of the required documents and authorizations “Worry-Free” Cremation in our secure crematory Alternative container and temporary urn Final Goodbye at our facility* Simple Cremation with Memorial Service to Follow: $1,995 Transportation of the body (within 50 miles of our facility) Preparation of the required documents and authorizations “Worry-Free” Cremation in our secure crematory Alternative container and temporary urn Visitation to be held one hour immediately prior to memorial service at your church or our chapel Coordination and supervision of memorial service at your church or our chapel Traditional Funeral with Simple Cremation to Follow: $4,175 Transportation of the body (within 50 miles of our facility) Preparation of the required documents and authorizations Embalming and cosmetic preparation for “open casket” viewing Visitation to be held one hour immediately prior to funeral service at your church or our chapel Coordination and supervision of funeral service at your church or our chapel Use of rental casket “Worry-Free” cremation in our secure crematory Alternative container and temporary urn Simple Cremation with Veterans Graveside Service: $1,875 Transportation of the body (within 50 miles of our facility) Preparation of the required documents and authorizations “Worry-Free” cremation in our secure crematory Alternative container and temporary urn Coordination and supervision of graveside service at Georgia National Cemetery Completion of Veterans Administration forms for benefits and military honors Simple Cremation with Veterans Memorial Service: $1,995 Transportation of the body (within 50 miles of our facility) Preparation of the required documents and authorizations “Worry-Free” cremation in our secure crematory Alternative container and temporary urn Coordination and supervision of a memorial service Completion of Veterans Administration forms for benefits and military honors Traditional Veterans Funeral with Simple Cremation to Follow: $4,175 Transportation of the body (within 50 miles of our facility) Preparation of the required documents and authorizations Embalming and cosmetic preparation for “open casket” viewing Visitation to be held one hour immediately prior to funeral service at your church or our chapel Coordination and supervision of funeral service at your church or our chapel Use of rental casket “Worry-Free” cremation in our secure crematory Alternative container and temporary urn Completion of Veterans Administration forms for benefits and military honors Simple Cremation Prior to Memorial Mass : $1,995 Transportation of the body (within 50 miles of our facility) Preparation of required documents and authorizations Cremation in our secure crematory prior to Mass Alternative container and temporary urn One hour visitation at your church immediately before memorial Coordination of Memorial Mass at your church Traditional Mass with Simple Cremation to Follow: $4,175 Transportation of the body (within 50 miles of our facility) Preparation of required documents and authorizations Embalming and cosmetic preparation for “open casket” viewing One hour visitation at your church immediately before funeral Coordination of Mass of Christian Burial at your church Use of rental casket Cremation in our secure crematory following Mass Alternative container and temporary urn Decedent InformationName* First Last Sex Male Female Date of Birth MM slash DD slash YYYY Place of BirthResidence (of decedent)Name of FacilityAddress Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Marital Status Never Married Married Widowed Divorced Separated Surviving Spouse (if wife, maiden name)Race White/Caucasian Asian Black or African American Other Education 8th Grade 9th-2th grade, no diploma High school graduate or GED4 Some college credit, but no degree Associate's degree Bachelor's degree Master's degree Doctorate or Professional degree Veteran InformationDid you ever serve in the armed forces? Yes No What Branch of Service?OccupationMost Recent OccupationPlace of Employment (last or longest)Type of Business or IndustryParentsName of FatherFirst Name and Maiden Name of MotherNext of Kinsurviving spouse or person in charge of arrangementsRelationship to DeceasedName* First Last Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email*Select office you wish to contact:*DuluthColumbusFayetteville Δ
