Pre-Planning Form

Kristan Rochelle Dugger

Bill R. Armstrong

Frances Kush

Williams Funeral Directors
1600 S. Garland Ave
Garland, TX 75040
972-276-5000

Pre-Planning

From locking your cost at today's price, the piece of mind that your wishes will be fulfilled, and lifting the burden of the arrangement process at the time need, pre-planning your funeral can be very beneficial to you and your family. We offer both insurance-funded pre-paid plans and trust-funded pre-paid plans.

Depending on your qualifications, our pre-arrangement counselors can help determine which option would be best for you. If you would like more information, please feel free to fill out and submit our basic planner below. If you would like to speak with a representative personally, please call 972-276-5000 and ask to speak with a pre-need representative.

Additionally, the Texas Department of Banking provides consumers with information on the purchase of prepaid funeral benefits.

I am planning for:
Personal Information
Name:
Email Address:
Address:
City:
State/Province:
Country:
Zip Code:
Phone Number:
Place of Birth:
Date of Birth:
Sex:
Citizenship:
Marital Status:
Spouse (Maidenn Name):
Father's Name:
Mother's Maiden Name:
SSN:
Religous Preference:
Education
High School Name:
# of Years:
College Name:
# of Years::
Family Information: Please list the names of survivors and state their relationship to you, their spouse's names and the city in which they live as you wish to have them listed in the memorial. (The following is a guide to assist you.) SURVIVORS: Spouse, Sons, Daughters, Parents, Brothers, Sisters, Grandchildren, (Great-grandchildren), Grandparents, Others (Eg. Son: Joe Smith and his wife Paula of Milledgeville)
Survivors:
Preceded in Death by::
Additional Information and Organ:
Work History
Occupation:
Business:
Industry:
Company:
Number of Years:
Years Retired:
Military Service
Service Branch:
Serial Number:
Date Enlisted:
Rank at Discharge:
Date Discharged:
Discharge on File At:
Combat Action:
Funeral Preferences
I prefer my Funeral Service to be
Public:
Private:
Visitation
Public:
Private:
Place of Service:
Other:
I prefer
Cremation:
Burial:
Entombment:

For security, please enter the letter or number displayed in the corresponding box below each character. The letters do not have to be capitalized