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Couple
Know the Facts

FACT
The death of a loved one is a tragedy every household experiences.

FACT
Most families will find themselves poorly prepared to deal with the problems, indecisions, and costs a death forces on them.

FACT
The decision to prearrange your cemetery or funeral needs today is very economically sound, although the strongest reasons to prearrange are love and peace of mind.


Benefits of Pre-arrangement
1. Peace of Mind

Good/Bad Pre-arrangmet

2. Satisfaction

3. Price-Stability

4. Conserves Insurance

5. Payments

6. Togetherness

You Have Only Two Choices
1. You can prearrange your family estate before death enters your home.

2. You can wait until death forces you to make cemetery and funeral arrangements.

Pre-planning gives people peace of mind.

If you are ready to begin the pre-planning process,
give us a call at 1-(888)-235-7959 / (440) 992-2191 or fill in the form below.

Personal Information
Name
(First MI Last):
Marital Status:   Social_Security #:
Date of Birth: Place Of Birth:
Address:
City: State:
County: Zip:
Phone: E-mail:
Spouse's Name: Spouse's Maiden Name:
Place of
Marriage:
Date of Marriage:
Father's Name: Mother's Name:
Mother's Maiden Name:

Work/Education History
Education (0-12): College 1-5+:
Occupation:
Business: Company:

Military Record
Branch of Service: Serial Number:
Date Enlisted: Rank At Discharge:
Date Discharged: Discharge On File At:
Copy of Discharge Papers:    Yes    No
Name Of Wars:
Person in Charge:
Address:
Phone:
Insurance Information:

Funeral Service Request
Place Of Service:
Funeral Home:
Address: Phone:
Place of Visitation:
Religious Denomination:
Place Of Worship:
Lodge / Union:
Person in Charge of Final Arrangements:

Special Instructions
Flower Preference:
Music
Casket Bearers (6):
Jewelery:
Glasses:
Clothing:
Other:

Disposition Request
I Prefer:
Cemetery:
Address: Phone:
Section:
I have made a last will and testament:    Yes    No
Location:

Other Instructions

Memorials/Donations To Charity

Please select all that apply:
Send information about pre-arrangement

Contact me to set an appointment

Please keep my information on file

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Mail E-mail us: info2@ducro.com