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James F. Webb Funeral Home
EASY FUNERAL PRE-PLANNING FORM
 

To be placed in the permanent files of James F. Webb Funeral Home.
*Require fields

Person Completing this Form*:
Relationship*:
Email*:
 
Pre-arrangement Guide For
Full Legal Name*:
(no initials please)
Address:
(no P.O. Box)
City:
State:
Zip:
Date of Birth:
(mm/dd/yyyy)
Place of Birth:
Father's Full Name:
Mother's Full Maiden Name:
Highest Level of Education Completed:
Degree:
Veteran: Yes No
Military Branch:
Dates of Service:
Occupation:
Spouse's Full Name:
(Wife's maiden name, if applicable)
Religious Affiliation/Congregation:
 
Family Member Information

Family Member #1

 
Funeral Arrangement Details
Person in charge of arrangements:
 
Place of service or gathering:
If Other, please specify:

 

Preference for final disposition:
If Other, please specify:
Cemetery:
Disposition of cremated body:
 

In the space provided below, please share any information that would be helpful in creating a meaningful service. (ie. favorite hobbies, places, music selections, poems, scripture, etc.)

Any final thoughts that should be shared?

 

Do you wish to be contacted to discuss the details
of these arrangements, cost or payment options? Yes No

If yes, how should we contact you:
Phone Number:

If no, we will keep this information on file until you or your surviving family requests it.

  security code
Enter Security Code:

 
June Gressett
Born: 6/26/1942
Died: 8/21/2017
Kathleen Love
Born: 2/3/1940
Died: 8/20/2017
Patricia Wilson
Born: 9/3/1937
Died: 8/12/2017
Jeremy Gabriel
Born: 5/2/1986
Died: 8/4/2017
Francis Poe
Born: 4/14/1956
Died: 7/30/2017
Paul Dunda
Born: 6/12/1946
Died: 7/26/2017
Dorothy Mabry
Born: 3/22/1931
Died: 7/26/2017
Janette Griffith
Born: 5/9/1943
Died: 7/23/2017
Barbara Fuller
Born: 12/17/1936
Died: 7/22/2017

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James F. Webb Funeral Home | 2514 7th Street | Meridian, MS 39301 | 601-693-6521
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