Pre-arrangement Form

More and more people are choosing to arrange their funeral services in advance.  Although it is best to discuss arrangements in person, we are finding that sometimes it is hard for family members to do that because of personal schedules.  As a result, we offer this page as a way to provide at least some of the necessary information. 

There are many more aspects to pre-arranging than are contained on this page; however, you may consider this a starting point which can be continued in detail at a future time (or as a way to provide additional information if you have already started the process).  If you haven't already, please visit our Preplanning link for more information regarding advance planning and payment.  If you wish to pre-arrange more than one person, separate form submissions are required.

Upon completing the form below, and in order to send it to us, you will need to indicate that you have read our privacy policy and fill in the anti-spam feature.   A follow-up page will appear after the form is submitted.

Please note:  The name and address blanks at the top of this form are for those of the person submitting the information, whether or not the pre-arrangement is for yourself.


* Required fields
Name *
E-mail Address *
Mailing address:
Phone number:
I wish to prearrange for: *
If 'other' please indicate relationship:
What would you like Matthews Funeral Home to do with the following information? *
Are you wanting to discuss options for pre-paying the funeral services *
Type of funeral arrangement desired: *
If 'other', or you wish to elaborate, please describe type of desired arrangements:
Name of person to be prearranged: *
Birthdate: *
Birthplace:
Current street address:
Occupation during most of life:
Gender: *
Current marital status: *
Father's name:
Father's birthplace:
Mother`s maiden name:
Mother`s birthplace:
Location of funeral service:
Name of cemetery:
Additional details I would like to leave on file:
Will you be submitting more detailed information (eg. life history) by e-mail to be added to the file? *

I have read and agree to the Privacy Policy *

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