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Orlando Memorial Gardens
EASY FUNERAL PRE-PLANNING FORM
 

To be placed in the permanent files of Orlando Memorial Gardens.
*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:

 
Juanita Portalatin
Born: 8/29/1933
Died: 4/18/2014
Robert Parker
Died: 4/9/2014
Liaquat Qazi
Died: 3/29/2014
Faiyaaz Mohamed
Died: 3/29/2014
Hosna Hanafi
Died: 3/29/2014
Omar Hamdan
Died: 3/29/2014
Jamal Ashim
Died: 2/25/2014
Shirley Pettis
Born: 12/10/1940
Died: 2/11/2014
Herbert Johnson
Born: 4/13/1939
Died: 2/5/2014

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