Plan Online

Planning your own funeral is not something most people like to think about. Pre-arangement allows you to make your final arrangements at your own pace, at a time when you feel calm, healthy and rational. This page allows you to begin to plan online. If you wish to speak to us regarding pre-planning for yourself or for a family member, please fill out the basic form below. We will contact you after we have reviewed the information to schedule a time to talk at your convenience in the comfort of your home or our facility.

Begin Your Plan Here

Contact Person
Name*
First Last
Address*
Street Address City State ZIP Code
Email*
Phone*
Cell Phone
Relationship to Deceased*
Name of Person You Are Planning For
Name*
First Middle Last
Sex*
Date of Birth*
MM slash DD slash YYYY
Birthplace: City, State, Country
Marital Status*
Name of Spouse (include maiden name, if wife)
In Armed Forces
Social Security Number
Usual Occupation
Kind of Business/Industry
Education (highest completed) Elementary & Primary (0-12)
Higher Education
Address*
Street Address City State ZIP Code
Father's Name of Deceased
First Last
Legal forms require this information. If you do not have this information, 'Unknown' will need to be inserted.
Mother's Name of Deceased
First Last Maiden
Legal forms require this information. If you do not have this information, 'Unknown' will need to be inserted.
Service Information
Burial or Cremation*
Do you want a viewing?
Cemetery Name
Cemetery is in which City?
Church Name or Cozart Chapel?
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Plan Online

Begin Your Plan Here

Contact Person

Name of Person You Are Planning For

Service Information

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