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LaGrone Funeral Chapel of Ruidoso
EASY FUNERAL PRE-PLANNING FORM
 

To be placed in the permanent files of LaGrone Funeral Chapel of Ruidoso.
*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:

 
Jane Black
Born: 7/7/1932
Died: 6/21/2017
Justin King
Born: 3/16/1978
Died: 6/14/2017
Hayden King
Born: 1/6/2004
Died: 6/14/2017
Ronald Jose
Born: 5/15/1950
Died: 6/14/2017
Sheila Medders
Born: 7/31/1953
Died: 6/6/2017
Joe Burchett
Born: 1/12/1979
Died: 6/4/2017
Clara Blake
Born: 8/16/1959
Died: 6/4/2017
Henry Fox
Born: 7/4/1944
Died: 6/1/2017
Olivia Moorhead
Born: 11/13/1940
Died: 5/31/2017

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LaGrone Funeral Chapel of Ruidoso | 341 Sudderth Drive | Ruidoso, NM 88345 | 575-257-7303
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