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1-800-CREMATE
or
(254) 752-5900
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Cremation Arrangement Form
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Cremation Authorization – Sign Online
Appointment of Agent Form
Burial Arrangement Form
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Pre-Planning Form
WE OWN AND OPERATE OUR OWN IN-HOUSE, PRIVATE CREMATORY
Your Loved One Does
NOT
Leave Our Care
CALL US:
1-800-CREMATE
Say Goodbye
Step 1 - Online Direct Cremation Package
33%
Our Online Discounted Package for Cremation - Say Goodbye
Has Someone Just Passed Away?
Yes
‘Say Good-bye’ Plan includes:
All services/products included in our Basic Package, PLUS
Complete care
($1190 value)
- Embalming, Grooming, Cosmetics, Hairdressing, Dressing
One Hour of use of Visitation Room, weekdays (9am-3pm) for public or private gathering/viewing
($395 Value)
Minimum cremation container along with use of “Chaise Hardwood Presentation Container”
($250 value)
CLICK HERE
to view Container
Basic White Guest Book
($30 value)
4 certified copies of the death certificate
Please answer the following:
Deceased's Name
*
First
Last
Where is the decedent currently located?
*
Has an autopsy &/or organ donation been performed (YES / NO)? If yes, we must charge for Autopsy &/or Organ Donation Repair ($295 fee) since your wishes are to view your loved one.
*
No Autopsy / Organ Donation
Yes - repair is needed.
Deceased's Weight
*
Choose One
Under 300lbs
300+ lbs
Oversize charge for this particular plan maynot exceed 300lbs. All bodies will be weighed.
Returning the Cremated Remains
*
Choose One
I will pick up the cremated remains at your office within Ten days from the cremation completion date.
Please mail me the cremated remains via U.S Postal Service Certified Mail.
Name of Person Authorized to Receive Cremated Remains:
*
Phone Number for Person Authorized to Receive Cremated Remains
*
Address Where Cremated Remains Are To Be Shipped
*
Street Address
City
State / Province / Region
ZIP / Postal Code
How do you prefer to receive staus updates as things progress?
*
by Text
by Phone
by email
do not notify me until everything (cremated remains and death certificates) are ready for pickup
Order Additional Death Certificates
*
Choose One
Just the four Included; No extra
One extra
Two extra
Three extra
Four extra
Five extra
Six extra
Seven extra
Eight extra
Nine extra
Ten extra
Do you wish to pick up everything at one time? (Release to whom you have designated above, if applicable)
*
Choose One
Yes - I will wait and pick up Cremated Remains and Death Certificates once all received by funeral home
No - Please call me when Cremated Remains are ready; call me when Death Certificates arrive - I will make two trips to pick up these items
Not Applicable - mailing Cremated Remains and mailing Death Certificates
Additional Options
This field is hidden when viewing the form
Additional Option 2
Witness the Cremation. add: $195.00
Witness the Cremation
Witness the Cremation. add:
Privately Scheduled Appointment to be present "Behind Glass" at the crematory when starting the cremation.
This field is hidden when viewing the form
Additional Option 3
Select if the deceased has a pacemaker, battery or defibrillator implanted. add: $65.00
Select if the deceased has a pacemaker, battery or defibrillator implanted.
Select if the deceased has a pacemaker, battery or defibrillator implanted. add:
Removal of pacemaker or defibrillator (Mandatory requirement by crematorium)
Life Tribute Video
Life Tribute Video. add:
You may order a custom made Life Tribute Video to be played at the gathering for your loved one. This DVD becomes a treasured keepsake that the family will cherish forever. Select up to 75 pictures in the order of your choice to be inserted into the keepsake video, then we add animation to the montage. One copy of the DVD in a DVD Case is included, and a custom label on the DVD. Life Tribute Video
Need Fingerprint or Lock of Hair?
Fingerprint
Lock of Hair
Fingerprint
Price:
CLICK HERE
for required signed release.
Fingerprint
Price:
CLICK HERE
for required signed release.
Lock of Hair
Quantity
Price:
$75.00
Quantity
CLICK HERE
for required signed release.
Total
$0.00
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Say Goodbye quantity
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