Funeral planning services and funeral arrangements by Crowder Funeral Home.

Crowder funeral home

"Serving Families for over 50 Years"

 

 

       
 

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Houston Area Funeral Arrangements Form

Fill out this form to give us the details for your arrangements. 
Deceased Information
First Name:
Middle Name:
Last Name:
Address:
City:
State/Province:
Zip/Postal Code:
Length of Residence in the City:
Home Phone :
Work Phone :
Email :
Date of Birth:
Birthplace:
 
Father's Name:
 
Mother's Full Maiden Name:
 
Highest level of education:
Marital Status:
 
Maiden Name of Spouse:
Date of Marriage:
If deceased, date of death:
 
Name of Surviving Children & Their Spouses, and Their Addresses
Child#1      Name:

Spouse's Name:
City:
State/Province:
Child#2      Name:
Spouse's Name:
City:
State/Province:
Child#3      Name:

Spouse's Name:
City:
State/Province:
Child#4      Name:

Spouse's Name:
City:
State/Province:
Child#5      Name:

Spouse's Name:
City:
State/Province:
 
Current Number of Grandchildren:
Current Number of Great Grandchildren:
 
Names of surviving brothers & sisters and their addresses
Sibling#1      Name:
City:
State/Province:
Sibling#2      Name:
City:
State/Province:
Sibling#3      Name:
City:
State/Province:
Sibling#4      Name:
City:
State/Province:
Sibling#5      Name:
City:
State/Province:
 
Preceded in death by
 
Occupation. Give the type of work done most of working life, even if retired.
Name of Employer:
Total years spent in your occupation:
 
Church affiliation & activities:
 
Did deceased serve in the military? Yes No
If yes, what branch:
Please send us a copy of your discharge papers.
List membership in fraternal, civic, or professional organizations:
 
Special events in deceased life not listed previously:
 
FUNERAL INSTRUCTIONS
Place of Service:
Minister:
Minister:
Music Selections:
Organist:
Singer(s):
Singer#1:
Singer#2:
Pallbearers:
Pallbearer#1:
Pallbearer#2:
Pallbearer#3:
Pallbearer#4:
Pallbearer#5:
Pallbearer#6:
Pallbearer#7:
Pallbearer#8:
Favorite Bible Selections:
Special Services (Military or Lodge)
 
Cemetery Information
Name of Cemetery:
Location City:
Lot is in the name of:
Section:
Lot:
Grave Space:
 
Casket and Burial Preferences
Casket:
Metal:
Wood:
Exterior Color:
Interior Color:
Burial Vault:
Any other information for Newspaper Notice
 
Newspapers to Notify
 
Which Funeral Home would you like to send your Pre-Arrangement to:
 
My Special Wishes
Clothing, jewelry, etc.
 
 

    
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