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Heath-Griffith Funeral Home
EASY FUNERAL PRE-PLANNING FORM
 

To be placed in the permanent files of Heath-Griffith 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:

 
James Rodanski
Born: 1/22/1962
Died: 9/16/2017
Wanda Layton
Born: 1/31/1930
Died: 9/13/2017
Charles Hicks
Born: 2/8/1952
Died: 9/11/2017
Margaret Jones Tattershall
Born: 8/11/1966
Died: 9/9/2017
Mary Hall
Born: 6/5/1925
Died: 9/3/2017
Richard Robertson
Born: 12/27/1951
Died: 8/31/2017
Larry Cagle
Born: 10/8/1953
Died: 8/28/2017
William Powell
Born: 6/29/1948
Died: 8/28/2017
Barbara Willoughby
Born: 1/23/1937
Died: 8/25/2017

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Heath-Griffith Funeral Home | 1823 West 51st St. | Tulsa, OK 74107 | 918-446-6633
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