The Avenue of Flags - Pre-Arrangement

The Avenue of Flags Pre-Arrangement

Please select any combination of the services offered below. Following your selection, please complete our standard pre-arrangment form so that we may personalize the service accordingly. Thank you.

Select Service(s)*
Service(s):	Burial in Flags Burial Elsewhere Memorialization Biography Buy a Flag Fly a Flag
* May be purchased separately or in any combination.

I am planning for

Personal Information
Name
(First MI Last):

Date of Birth: Place of Birth:

Address:

City:
State:

County:
Zip:

Phone:
E-mail:

Spouse's Name:
Spouse's Maiden Name:

Place of Marriage:
Date of Marriage:

Father's Name:
Mother's Name:

Mother's Maiden Name:

**Work/Education History**
Education Level:	Primary:
Education Level:	Secondary:
Occupation:
Business:		Industry:
Company:		Number Of Years:

**Military Service**
Service Branch:		Serial Number:
Date Enlisted:		Rank At Discharge:
Date Discharged:		Discharge On File At:
Name Of Wars:

**Funeral Preferences**
I Prefer My Funeral Service To Be
Place Of Service:
Conclude Service At:
Religious Denomination:
Place Of Worship:
Name:
Vehicle For Family

**Memorialization Instructions**
Musical Selections To Be Played
Will Supply CD/Tape
Musical Selections To Be Sung
Favorite Bible Passages:
Favorite Literature Or Poems:
Favorite Flower(s):
Favorite Flower Color:

**Special Instructions**

**Person To Finalize Arrangements At Time Of Death**
Name:
Relationship:
Address:
City:	State:	Zip:
Phone:	E-mail:

**Please select one of the options below**
Send information about pre-arrangement with The Avenue of Flags Contact me to set an appointment Please keep my information on file

• History • Burial in Flags • Park Tour • Funeral Home • Foundation •
• America Held Hostage • Request Info • Home • Sign Guestbook •

E-mail us: info@avenueofflags.com