Most of us prepare for what is possible, but seldom do we plan for the inevitable. Today, more and more people are arranging their funerals in advance. Pre-arranged and/or pre-funded funeral arrangements considerably ease your family's burden when death occurs. Often families are confused about what you would have wanted.  By selecting your options in advance, there is no doubt.  And, you can change you mind later, if you wish.  It can also play an integral part in financial planning. Pre-arrangement of funeral instructions is a service we provide at no charge.

Pre-arrangements are designed to meet all your individual wishes. There is no cost obligation for arranging one's wishes and keeping them on file at our funeral home. If pre-payment is desired we offer burial insurance as well as individual burial trusts.
One of our funeral directors would be glad to meet with you at the funeral home or in your own home. They will walk you through the process and answer all your questions, at no obligation whatsoever.

Feel free to email us with any questions you may have regarding pre-planning or to request a free brochure. Or you may call us at 570-823-1358 for personal service 24 hours a day.

To better assist us in serving you, we ask that you kindly fill out the form below.  We will keep this information on record in strict confidence until contacted by you to establish a time to select merchandise or pre-finance, if desired.  Thank you.

Name:
Address:
City:
State:
Zip:
Phone:
Cell Phone:
Wife or Husband of:
(madien name)
Sex:
Race:
Marital Status:
Date of Birth: mm/dd/yyyy
Years of Education: (ex: 12+4)
Schools Attended:
Place of Birth:
Occupation:
Place of Business:
Father's Name:
Mother's Name:
Mother's Maiden Name:
   
Cemetary:
City/Town:
Grave Number:
Lot:
Section:
Block:
 Owner:
       
Next of Kin:
Address:
City:
State:
Zip:
  
Phone:
Cell:
  
Organization & Clubs:
Clergyman:
Church:
   
Veteran Data  
Branch of Service:
Service Number:
Date of Enlistment: Place:
Date of Discharge: Place:
Higest Rank: War:
       
Surviving Relatives & Addresses
Children
City of Residence
Brothers & Sister
City of Residence
Grandchildren
City of Residence
Great-Grandchildren
City of Residence
   
   
Pre Deceased:
Special Instructions/Wishes: