1220 Wayzata Blvd East,
| Wayzata, MN 55391
| Tel: 1-952-473-5577

Pre-Arrangements Form

Use this form to provide us with as much or as little detail as you wish. At a minimum, provide us with your name and telephone number and tell us how you'd like us to work with you on the remaining information using the options at the base of the form.

Pre-Arrangement Details

I am planning for:

Personal Information

Full Name

Email Address

Street

City

State/Province

ZIP/Postcode

Country

Phone Number

Place of Birth

Date of Birth

Sex

Citizenship

Marital Status

Spouse (Maiden Name)

Father's Name

Mother's Maiden Name

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

Anti-Spam Security Question

1220 Wayzata Blvd East,
| Wayzata, MN 55391
| Tel: 1-952-473-5577
|

David Lee Funeral Home & Cremation Services
| 1220 Wayzata Blvd East,
| Wayzata, MN 55391
| Tel: 1-952-473-5577
| Fax: 1-952-475-0870

1220 Wayzata Blvd East,
| Wayzata, MN 55391
| Tel: 1-952-473-5577

Home

Home

Obituaries

All Obituaries

About Us

About Us
Our History
Our Staff
Why Choose Us
Testimonials
Contact Us
Privacy Policy

Directions

Directions

Services

Our Services
Headstones/Markers

Pre-Plan

Pre-Arrangements
Pre-Arrangements Form
The Talk of a Lifetime

Veterans

Veterans Overview
Veterans Headstones
Veterans Burial Flags

Resources

Resources
Local Resources
Healing Insights
Making Arrangements
Grief Support
When Death Occurs
Funeral Etiquette

Frequent Questions

A year of daily grief support

Our support in your time of need does not end after the funeral services. Enter your email below to receive a grief support message from us each day for a year. You can unsubscribe at any time.