Use this form to provide us with as much or as little detail as you wish. At a minimum, provide us with your name and telephone number and tell us how you’d like us to work with you on the remaining information using the options at the base of the form.

Pre-Arrangement Form

  • Please use the area above to enter the names of siblings, children and grandchildren.
  • Work/Education History
  • Military Record
  • Funeral Service Request
  • Disposition Request
  • (if applicable)
  • (if applicable)
  • (if applicable)
  • Summary Details
  • (Enter numbers/digits, not words)

Pre-Planning

Sit down with one of our Funeral Pre-Planning Specialists

“KellyKelly Townsend would be glad to meet with you at the funeral home or in your own home. She will walk you through the process and answer all your questions, at no obligation whatsoever.

Call Kelly at 717-560-5100

Or arrange a meeting by email >