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Davis Funeral Homes & Memorial Park
EASY FUNERAL PRE-PLANNING FORM
 

To be placed in the permanent files of Davis Funeral Homes & Memorial Park.
*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:

 
Sharon Ficklin
Born: 9/1/1964
Died: 4/30/2016
Inez Mac Elrath
Born: 9/29/1929
Died: 4/25/2016
Benny Soley
Born: 4/21/1999
Died: 4/24/2016
Sasha Pocasangre
Born: 10/15/2015
Died: 4/23/2016
Gurmit Bhandari
Born: 8/2/1953
Died: 4/20/2016
Jason Gabignaud
Born: 8/8/1980
Died: 4/20/2016
Julio Ramos Jr.
Born: 6/2/1951
Died: 4/19/2016
Thomas Basinger
Born: 9/7/1959
Died: 4/17/2016
Irving Andrade
Born: 8/13/1990
Died: 4/17/2016

Search Obituaries

 
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Davis Funeral Homes & Memorial Park | 6200 South Eastern Avenue | Las Vegas, NV 89119 | 702-736-6200
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