Online Funeral Planning

Please select one of the options below:

 A Death Has Occurred - Please Call 604-936-9987 Immediately.

 A Death Has Not Occurred
 
 
I. Biographical Information
 
 
Full Name:
Date of Death:
Address1:
Address2:
City Name:
Province/Territory:
Postal Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
Province/Territory of Birth:
   
Social Insurance Number: For security reasons, we will contact you to complete the pre-arrangement.
Father's Name:
Father's Place of Birth:
Mother's Name:
Mother's Maiden Name:
Mother's Place of Birth:
Spouse's Name:
Spouse's Maiden Name:
Occupation:
Business Type:
Years Worked:

II. Military Record
Veteran:
Branch of Service:
Serial Number:
Time of Military Service:

III. Service Preferences

Type of Service:
Casket:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Cemetery Name:

Miscellaneous Notes and Instructions:

Please select one of the options below:

Please send me information about pre-planning

Please contact me to schedule an appointment for pre-planning

Please place my information on file