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- Full Name
- Date of Birth
- Birthplace: County & State
- School Level
- Social Security
- Occupation or Retired from
- Father’s Name
- Mother’s Name with Maiden Name
- What Hairdresser would you want (Usually Ladies Only)
- Member of what church, if any.
- Form of Contributions (Family’s favorite charity)
- Is the deceased a Veteran, if so would need Discharge
- Do they wear glasses: Yes / No
- Do they want any jewelry to be put on.
- Make-Up: Light – Medium – Heavy
- Nail Polish Color and Lipstick Color
- Do they belong to any Lodge or Organizations.
- Where you want service to be held?
- What Minister (s) do you want to conduct the service?
- Any Special Scriptures wanted during the service?
- Any Special Music played during the service?
- What type of Flowers wanted for the Casket Spray?
- What Florist would you want to use?
- Want to use Own Clothing?
- Active Casket Bearers and/or Honorary Casket Bearers?
- List Survivors with Name, City & State of Residence (Immediate Only).
- Number of Grandchildren, Great Grandchildren & Great Great Grandchildren.
- Cemetery and location.
- Lot and Grave #.
- Buried next to whom?