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My wish (or the person these arrangements are for) is to be

If you chose cremation, the ashes will be

If you chose burial, what cemetery will you use?

Where is that cemetery located?

I like to allow time for my family to receive other family and friends at the funeral home.

I would like this time to be

The service will be held at

Some or all of my services and/or burial take place at a funeral home or cemetery out of town/state.

If you'd like to submit responses to these questions now for our files, please complete the following information.

If you'd like to get an approximate cost for the type of service indicated by your responses to the above questions, please check here.

Enter the following information for the person whom the arrangements are for.

Name

Address

City, State, Zip

Phone E-mail Address

Date of Birth Place of Birth

Father's Name

Mother's Maiden Name

Occupation

Employer

Years of Education

Who will be responsible for making these arrangements at the time of death?

Name

Relationship

Address

City, State, Zip

Phone E-mail

Your comments and questions are welcome. Please use the following space. We will try to respond within twenty-four hours.

Tell us how to get in touch with you:

Name

E-mail

Telephone

FAX

Please contact me as soon as possible regarding this.

CARMON COMMUNITY FUNERAL HOMES
Windsor • Poquonock • Granby • Suffield • South Windsor • Rockville • Vernon • Avon

Member of:
National Funeral Directors Association	Connecticut Funeral Directors Association	Selected Independent Funeral Homes	Cremation Association of North America