In selecting a comprehensive pre-planning package, your specific arrangement requests will be documented in detail and kept on file, available for activation at the time of need. If you would like now or in the future, a payment schedule can be established that will comfortably fit your current income and budget once you have made your arrangement decisions. Most importantly, when our services are required, your wishes are carried out.

We will accept your pre-arrangements package without prepayment if you would prefer this option.

Please feel free to contact Webb Funeral Home for a no-obligation consultation or complete the form below and one of our funeral service professionals will contact you. Our only focus is assisting you in choosing the right program in the privacy and confort of your own home or our offices.

BIOGRAPHICAL INFORMATION:
Name: Age:
Address:
City: State/Province: Zip:
Phone:
Email:  

Occupation:
Place of Birth: Date of Birth:

Veteran?
Yes No War

Marital Status:
Single Married Widowed Divorced

Church Affiliation:

Clubs/Unions/Fraternal Organizations:


Father: Living? Yes No
Name: First
MI
Last

Mother: Living? Yes No
First
MI
Maiden
Married

Spouse: Living? Yes No
First
MI
Maiden
Married

Highest Level of Education Attained:

FAMILY MEMBERS ( LIVING ):
Daughters ( Include City & State of Residence & Phone # )


Sons ( Include City & State of Residence & Phone # )


Sisters ( Include City & State of Residence & Phone # )


Brothers ( Include City & State of Residence & Phone # )


Grandchildren: # Great G.C. Great-Great


SERVICE INFORMATION:
Type of Service:
Funeral Memorial Graveside Cremation
Other  

Service to be:
Public Private Traditional Contemporary
Celebration

Prefer service to be held at:
Church/Place of Worship Funeral Home
Cemetery Other

Viewing:
Public Private Immediate Family Only
None

Do you prefer special rites:
Military Masonic Knights of Columbus
Other

Preceded in Death by:
Brothers, Sisters, Children

Attending Clergy:
,

Length of time for viewing or any time limits:

Name of Cemetery
City State/Province

Type of Music:
Piano Organ CD Vocalist Instrumental Only

Song Selections:
, ,

Pallbearers ( Minimum of 6 ):
,
,
,
,
,
,

Honorary Pallbearers:
,
,
,
,
,
,

Floral Preference (type and color preferred):

Memorial Photos Displayed? Yes No

Other Personal Requests:


I would like to meet with a counselor to select services, casket and vault.