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Hunsaker-Wooten Funeral Home
EASY FUNERAL PRE-PLANNING FORM
 

To be placed in the permanent files of Hunsaker-Wooten Funeral Home.
*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:

 
Robert Stingley
Born: 1/1/1900
Died: 6/19/2017
Richard Vandenberg
Born: 1/2/1930
Died: 6/16/2017
Tressie Hey
Born: 9/5/1928
Died: 6/3/2017
Edward Weaver
Born: 2/20/1946
Died: 5/22/2017
Charles Cordwell
Born: 9/12/1944
Died: 3/29/2017
Abbie Anderson
Born: 8/9/1925
Died: 3/17/2017
Henry Costello
Born: 5/28/1957
Died: 3/15/2017
Teresa Robertson
Born: 12/5/1965
Died: 2/23/2017
Roxanne Hopper
Born: 1/19/1958
Died: 2/22/2017

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Hunsaker-Wooten Funeral Home | 201 N. 4th Street | Fairfax, OK 74637 | 918-642-3228
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