ABOUT US
OBITUARIES
SERVICES
PLANNING AHEAD
GRIEF SUPPORT
RESOURCES

ABOUT US
OBITUARIES
SERVICES
PLANNING AHEAD
GRIEF SUPPORT
RESOURCES

PLANNING AHEAD

Online Preplanning Form

Online Preplanning Form

Free Text

Personal Information

Who is this plan for?

First Name

Middle Name

Last Name

Free Text

About You

Email Address

Phone Number

Free Text

Family, Work, & Education

Free Text

Family Information

Father's Name

Father's Address

Mother's Name

Mother's Address

Marital Status

Spouse's Name

Spouse's Maiden Name

Place of Marriage

Date of Marriage

Free Text

Additional Family Members

Siblings (alive)

Siblings (deceased)

Children (alive)

Children (deceased)

Grandchildren (alive)

Grandchildren (deceased)

Great-Grandchildren (alive)

Great-Grandchildren (deceased)

Free Text

Education History

School Name

Highest Level of Education

School Location

Free Text

Work History

Occupation

Company Name

Years At Company

Did this person serve in the military?

Yes

radio

No

radio

Free Text

Your Wishes

Visitation Options

Visitation at funeral home radio

radio

Visitation elsewhere radio

radio

No Visitation radio

radio

Funeral Service Option

Funeral service at funeral home radio

radio

Funeral service elsewhere radio

radio

No Funeral Service radio

radio

Reception Options

Reception at funeral home radio

radio

Reception elsewhere radio

radio

No Reception radio

radio

Would you prefer burial or cremation?

Burial

radio

Cremation

radio

Final Disposition

Ground Interment (burial) radio

radio

Mausoleum Entombment (above ground burial) radio

radio

Columbarium (for cremation urns) radio

radio

Ashes returned to family radio

radio

Would you prefer to include a graveside/committal service?

Yes

radio

No

radio

Free Text

Your Preferences

Please list any musical selections you would like to include in your services.

Please list any special themes you would like to include in your services.

Please list any poems, religious texts, or readings you would like to be read at your services.

Please list any interests or hobbies you would like to include into your services.

Is there a special story, personal thank you, or message of hope you would like to be read during your services?

Please Answer the following math Question.

Thank you for contacting us.
We will get back to you as soon as possible.

Oops, there was an error sending your message.
Please try again later.

Perry Funeral Chapel

McLendon at Murray Avenue

Ashburn, GA 31714

Phone: 229-567-3366

Fax: 229-567-3368

A Year of Grief Support

Sign up for one year of weekly grief messages designed to provide strength and comfort during this challenging time.

© Perry Funeral Chapel. All Rights Reserved.

© Perry Funeral Chapel. All Rights Reserved.

Admin Login | Terms of Use | Privacy Policy

Share by: