Please complete this form to record your funeral wishes. If you have any problems completing the form, please call us. We are a friendly team who are passionate about what we do.
Name*
Address*
Email Address*
Phone Number*
Date of Birth
Please tell us your preferences and final place of rest.
In the event of my death, I wish to be: Please select your preference
If Cremation: Please tell us how you would like your ashes to be dealt with
Other Information for cremation Please provide other information such as name of preferred cemetery, churchyard or specific grave.
If Burial: Please select all appropriate options
Other Information for Burial Please provide any other information, such as grave owner, grave number, name of cemetery/churchyard etc.
My Faith / Belief Please select your faith or belief
If Other, please specify
Preferred Minister/Officiant (if known)
This section advises us of your wishes prior to the day of your funeral.
How would you like to be dressed?
Coffin Type All our coffins are suitable for cremation or burial.
Do you wish people to see you before the funeral?
Where would you like the coffin to rest prior to the funeral?
Let us know how you would wish your last journey to be made
Preferred Transport
Funeral to Commence From This could be Your Home, the Funeral Home or somewhere else that is important to you.
Please advise us on your floral preferences and whether you have preferred charities that you would like to benefit in lieu of flowers.
Floral Tributes
My preferred charities are Please specify the name of the charities to whom donations should be sent
Please tell us your wishes for your service. You may include as much detail as you wish, or leave this section blank so your family can decide.
Music Choices Please list all music and hymns that you would like to be played or sung, at the start, during and the end of the service.
Specific Readings/Poems
Individuals for Tributes & Readings Please advise us of the names of individuals you wish to read at your service.
Any Other Requests Please advise us of any other wishes you have.
You may already have a funeral plan, in which case this can be transferred to us if you wish. If you don't, there are many ways to pay for your funeral. Please select one of the options below
Please include the name and contact details of the person that is most likely to deal with your funeral arrangements. This may be a member of your family, a close friend, your executor or your solicitor.
Name
Address
Email Address Email Address for Next of Kin or Personal Representative
Phone Number Phone Number for Next of Kin or Personal Representative
Thank you for completing our enquiry form. Please now complete this by clicking on 'Submit' below. One of our team will be in touch with you to follow up on your wishes in the next two days.
