In response to the current trend towards pre-arranged funerals, the George I. Green Funeral Home, Inc. offers a variety of plans that can be specifically tailored to the individual wishes.

It is a responsible and common sense approach to death, to foresee and ease the burden of death on the bereaved loved ones. With a pre-arranged funeral, you can make all your wishes concerning the services a matter of written record and can thoughtfully guarantee those left behind will be free of financial responsibility.

We would be happy to handle all your preplanning arrangements. We can meet with you in person to discuss your plans, or you can fill out our form below:
 

Personal Information
Name (First MI Last):
Marital Status:
Birth Date:    Birth Place:
Current Address:
City:    State:
Zip:    County:
Phone:
E-mail:
Spouse's Name:
Spouse's Maiden Name:
Marriage Date:    Marriage Place:
Father's Name:
Mother's Name:
Mother's Maiden Name:
Person in Charge:
Address:
Phone:
Work/Education History
Education (0-12):    College 1-5+:
Occupation:
Business:    Company:
Military Record
Branch of Service:
Serial Number:
Date Enlisted:    Date Discharged:
Rank At Discharge:
Discharge On File At:
Copy of Discharge Papers: Yes No
Name Of Wars:
Funeral Service Request
Place Of Service:
Funeral Home:
Address:
Phone:
Place of Visitation:
Religious Denomination:
Place Of Worship:
Newspaper Information (Please list family members)
Children:
Brothers/Sisters:
Number of Grandchildren:
Other significant relatives:
Special Instructions
Lodges and Organizations:
Jewelry:
Glasses:
Lodge / Union:
Clothing Preference: My own Other
Disposition Request
I Prefer:
Cemetery:
Address:
Phone:
Section:
Last will and testament exists: Yes No
Location:
Other Instructions
Memorials/Donations To Charity
Please select all that apply:
Send information about pre-arrangement
Contact me to set an appointment
Please keep my information on file

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