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Pre-Planning
"The option that relieves the burden from your family"

One of the most loving, caring things that an individual can do is to leave behind details and information in regards to Pre-Planning. If you feel it is too hard to discuss funeral arrangements at this time, just think how difficult it would be for your loved ones at a time of loss.

Advantages of Planning Your Funeral Arrangements;

Pre-Planning will express your wishes.
Pre-Planning relieves your family from making difficult decisions at a time of emergency.
Pre-Planning will give you and your family the security and satisfaction knowing that all the arrangements have been planned and paid for.
Pre-Planning discounts for complete funeral packages save you money.

If you are ready to begin the Pre-Planning process, call
Libby Funeral Home, Inc. at 845-831-0179
or
Complete the form below.


Personal Information:


Name:
Marital Status:
Birth Date:
Birth Place:
Current Address:
City:
State:
Zip:
County:
* Phone:
* Email:
Spouse's Name:
Spouse's Maiden Name:
Work/Education History :


Education (0-12):
College 1-5+:
Occupation:
Business:
Company:
Military Record:


Branch of Service:
Serial Number:
Date Enlisted:
Date Discharged:
Rank At Discharge:
Discharge On File At:
Copy of Discharge Papers (Yes):
Copy of Discharge Papers (No):
Name Of Wars:
Funeral Service Request :


Place Of Service:
Funeral Home:
Service Address:
Service Phone:
Place of Visitation:
Religious Denomination:
Place Of Worship:
Newspaper Information (Please list family members) :


Children:
Brothers/Sisters:
Number of Grandchildren:
Other significant relatives:
Special Instructions :


Lodges and Organizations:
Jewelry:
Glasses:
Lodge / Union:
Clothing Preference:
Disposition Request :


I Prefer:
Cemetery:
Address:
Phone:
Section:
Last will and testament exists (Yes):
Last will and testament exists (No):
Location:
Other Instructions:


Details:
* Required Fields