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Advance Funeral Planning

Funeral Pre-Arrange Online Form

One of the most caring, loving things you can do for your family is to leave detailed information that enables them to make the funeral service a personal tribute in keeping with your wishes.

Making funeral arrangements in the wake of a loved one's death is extremely difficult for those left behind. Arranging the funeral; and/or its payment, in advance; ensures that most major decisions have already been made, sparing your family any unnecessary uncertainty and confusion during a difficult and stressful time.

More and more people, after carefully weighing all factors, are concluding that it makes sense to plan ahead, calmly and sensibly, when they are in a normal mental and physical state, when they have full ability to reason, and when they are able to discuss arrangements with their family.

You may file vital statistics and preferred funeral information with us online by filling in the form below.

And here is our promise to you: At no time will you experience or even sense any feeling of obligation or pressure from any of our people. We take great pride in our reputation -- and ensuring that those who place their trust in our firm never question our loyalty or intentions in serving them and their loved ones.

The information provided is intended for use within the Greater Edmonton Area, inquiries for information or services outside of the Edmonton region should be directed to a funeral home within your local area.

Thank you.

Pre-Arrange Online Form
* Denotes Required Fields  
  I. Biographical Information
*Your First Name:
*Your Last Name:
Suite:
*Address:
*City:
*Province:
*Postal Code:
*Country:
*E-mail Address:
*Phone:
Date of Birth: (month/day/year)
City of Birth:
Province of Birth:
Social Insurance Number: For security reasons, we will contact you to complete the pre-arrangement.
Father's First Name:
Father's Last Name:
Father's Birthplace:
Mother's First Name:
*Mother's MAIDEN Last Name:
Mother's Birthplace:
Marital Status:
Spouse's Name:
Spouse's Maiden Name:
Obituary Information (optional)      Name of Survivors:
Relatives Who Have Preceded You In Death:
Occupation (during your working years):
Business Type:
Church Membership:
Lodge or Union Name:
  II. Military Record
Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge:
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:
  III. Service Preferences
Place of Service:
Church Name:
Other:
Casket:
Visitation Hours:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference (for ground burial):
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:
Miscellaneous Notes and Instructions:
Please select one of the options below:
Please send me information on funeral planning  
Please contact me to schedule an appointment
Please place my information on file
*Have you spoken to one of our Advance Planning Directors in the past? Yes
No
If yes, please indicate which Director:
By submitting this form you are granting Connelly-McKinley Ltd. permission to send you information from time to time announcing upcoming Estate Planning Seminars and to provide any new information as it becomes available. This will be solely from Connelly-McKinley Ltd., and you may have your address removed from our records at any time. Connelly-McKinley Ltd. has a strict privacy policy in place – we will NEVER share your name and/or contact information outside of our firm.
This is our promise to you…
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