Morton-Beckley Directors Home Online Pre-Planning Form

In selecting a comprehensive pre-planning package, your specific arrangement requests will be documented in detail and kept on file, available for activation at the time of need. If you would like now or in the future, a payment schedule can be established that will comfortably fit your current income and budget once you have made your arrangement decisions. Most importantly, when our services are required, your wishes are carried out.

We will accept your pre-arrangements package without prepayment if you would prefer this option.

Please feel free to contact Morton-Beckley Funeral Directors for a no-obligation consultation or complete the form below and one of our funeral service professionals will contact you. Our only focus is assisting you in choosing the right program in the privacy and comfort of your own home or our offices.

Personal Information
First Name:
Middle Name(s):
Last Name:
Telephone Number:
E-mail Address:
Address:
Town/City:
State:
Zip Code:
Date of Birth:
Place of Birth: (city & state or county & state)
Marital Status:	Please Choose One From This List Married Widowed Divorced Never Married
Spouse's Name: (Maiden name and full name of wife or husband’s full name)
Occupation: (for longest period during working life)
Social Security Number:
Father's Full Name:
Mother's Full Name: (include her maiden name)
Person who will be in charge of my funeral arrangements:
Name:
Address:
Town/City:
State:
Zip:
Telephone Number:
Military Information
Branch of Service:
Description of Service: (Wars fought in, medals earned, military campaigns)
Veteran's Service Number:
Rank:
Location of Discharge Papers:
Family Members
Spouse:  (Address and phone numbers)
Daughters: (Hometowns and phone numbers)
Sons: (Hometowns and phone pumbers)
Grandchildren: (Hometowns and phone numbers)
Sisters: (Hometowns and phone numbers)
Brothers: (Hometowns and phone numbers)
Other Relatives: (List relation, hometowns, and phone numbers)
My Funeral Service Preferences
Place of Service: (Funeral Home, Church, Graveside, or other)
Clergy: (Minister's hometown and phone number)
Type of Disposition:	Burial Entombment Cremation Other (Describe Below)
Cemetery Property Owned?	Yes No
Name of Cemetery: (Include: Location of Cemetery, City, & State)
Cemetery Preference: (If property not owned, include location of cemetery, city & state)
Music Selections: (Organ or piano background, live vocal, or recorded music) (If live vocal, include the vocalist, and their phone number) (List of songs)
Pallbearers or Honorary Pallbearers: (Include pallbearers' hometown, home phone number, and bearer type designation) (A = Active Bearer, H = Honorary Bearer)
Lodge, Society, Fraternal Organization: (List involvement and if you would like an honor guard)
Flowers:
Memorial Contributions / Donations:
Obituary Information: (List education and place of schooling, wedding date and place, work history and places I lived and worked, Clubs, Lodges, hobbies, what I liked doing, significant accomplishments, Boards, Committees and community and church involvement, etc.)
Any information or special instructions not previously listed:

Please check as many of the following as apply.

Please contact me so that I may select my casket and vault in advance.

Please forward me a copy of my information for my records.

Please contact me if any of my submitted information needs clarification.

File my information for future reference at Morton-Beckley Funeral Directors, but please do not contact me.

I would like to discuss my prepayment options with no obligation; please contact me.