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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:

 
Paul Smith
Born: 4/23/1927
Died: 7/18/2017
Jason Williams
Born: 11/25/1997
Died: 7/10/2017
Kathleen Henson
Born: 5/25/1938
Died: 7/7/2017
Michael Winslow
Born: 5/17/1991
Died: 7/2/2017
Grady Bacon
Born: 1/10/1939
Died: 6/21/2017
Pedro Ramirez
Born: 9/25/1988
Died: 6/20/2017
Gregory Coons
Born: 9/25/1953
Died: 6/19/2017
Felipe Sanchez
Born: 4/11/1941
Died: 6/18/2017
Mark Rodriguez
Born: 1/31/1973
Died: 6/18/2017

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