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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:

 
Fred Knapp
Born: 2/22/1937
Died: 3/27/2017
Paul Jones
Born: 2/18/1927
Died: 3/25/2017
Nathaniel Sanchez
Born: 3/8/1994
Died: 3/25/2017
Joe Hobbs
Born: 4/13/1938
Died: 3/19/2017
William Padilla
Born: 5/24/1982
Died: 3/7/2017
Kateri Waites
Born: 7/20/1985
Died: 3/6/2017
Marilyn Schoof
Born: 7/14/1935
Died: 3/2/2017
Haden Williams
Born: 10/25/1993
Died: 3/1/2017
Kathy Westbrook
Born: 3/15/1954
Died: 2/17/2017

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