Guardian Funeral - Pre-planning Funeral

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Funeral Pre-Planning

Pre-paid Funerals

Funeral Arrangements
Funeral Notices
Order of Service Sheet

Registration of Death Details

Caskets
Embalming
Selecting a Headstone

Grief Services

Funeral Pre-Planning

Full Name

Address

Gender

Name of Funeral Director

If other please specify:

Has the funeral been pre-paid?

Yes No

Casket Choice:

For example: Basic / Standard / Above Standard
For a list of our available caskets please visit our Caskets page

Burial or cremation:

Burial or cremation

If other please specify:

Existing Plot No.

New Area

Memorial or Plaque
For example: Visit our selections of head stone or plaque

Ashes:

Return ashes to Family
Inter in plot no.
Plot no

Cemetery Name

Scattering. Where?

Name & Contact details of preferred
Priest/Clergy/Officiant/Celebrant

Name & contact details of who
you would like to speak at your funeral:
For example; about your childhood/family life/working life/sporting
and other activities

Name of Pallbearers:

1.
2.
3.
4.
5.
6.

Funeral Service to be held at:

Guardian Funeral Home Chapel, Auty Lane, Porirua
Church [please provide details]
Other [please provide details]

Music Preferences

Organist
CDs Tapes [please provide details]

Hymns or Song choices

Readings or Verses

Flowers or Donations to

Special Instructions

Military Service Record

Service Number
Overseas Service	New Zealand Service
Which War
Rank
Unit or regiment

On my death please inform

Next of Kin
Executor
My Employer
My Doctor

Attendance at my funeral

Returned Services Association
Clubs
Organisations

Any other special instructions:

Contact Details

First Name

Last Name

Phone/s

Home address

Would you like us to contact you about this pre-arrangement?
Yes, please contact me No

Do you wish to prepay your funeral? Yes No