Enid Funeral Home

Pre Need Plannning

No one wants to think about losing a loved one. But, in other ways, you probably have thought about it, and somewhat planned for it. You've written a will, purchased life insurance, perhaps even discussed your preferences with your family. In fact, a nationwide survey revealed that 62% of the people responding were interested in making advance funeral arrangements . We know from our personal experience in serving many gnerations of area families that pre-planning can be the greatest gift of caring.

All you need to do is contact us at the number below or click on the link below and fill out the form and click submit for peace of mind.


© 2007 Brown-Cummings Funeral Home. All rights reserved.

Contact us at 580-237-5432 or Please fill out the information in this form and press the submit button

Place:
Pallbearers:
Special Instructions:

Vital Statistics Record
First Name:
Last Name
Street Address:
Street Address 2:
City:
State:
Zip:
Home Phone:
Work Phone:
Birthplace:
Birthdate:
Father's Name:
Mother's Maiden Name:
Marital Status:
Marital Details - Who:
Date Married:
Place Married:
Death Date:
Personal History
Occupation:
Employer:
Position Held:
How Long:
Retired:
Education:
Military:
Branch:
Rate or Rank:
War:
Lodges, Memberships, Church, & Public Offices held:
Newspapers the funeral home will notify the local newspaper:
Local Emergency Contacts to Be notified at need
Name relationship, Address, Phone:
Other Information
Other Pertinent information:
 


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© 2007 Brown-Cummings Funeral Home. All rights reserved.