Your Funeral Wishes

Please use this form to send us your funeral wishes. We will reply by email or telephone, as you prefer.

Your Funeral Wishes has been created to help people wishing to document their final funeral requirements, to enable you to have the

peace of mind knowing that every last detail has been documented and to help alleviate some

of the pain surrounding funeral arrangement at time of passing.

Your Funeral Wishes is a free service to anyone wishing to document their funeral requirements.

We would require you to fill in the document below and in turn we would have a trained funeral operative look over these details

and confirm everything is in order.

If you wish to have a present day cost for your own needs we can provide a funeral cost based on the details provided.

The cost given is based on our current price list and this price could increase in many years to come.

This is not a prepaid funeral plan, this service is for individuals looking to document their wishes and their choice of funeral director.

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Application Form

Plan Holder Details:

Next of Kin / Executor:

Funeral Details:

Grave Details:

Details prior to funeral service:

Day of Funeral Service:

Music requirements:

Funeral Tea:

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