Purpose of Preplanning

The purpose of this form is to take a meaningful moment and capture the unique life of you or your loved one. This will help you gather thoughts and ideas to help make your tribute a full expression of the life to be honored. We understand that completing this form will likely be difficult to complete on your own. We will be happy to verbally assist you in a more comfortable, conversational setting.

We invite you to answer the following questions and they will confidentally be submitted to our email account. Upon review, we will contact you to setup an appointment to discuss your needs.

You may also contact us directly at 574.264.2425 with any specific questions you may have.

Please fill out the following information on each tab. Press the SUBMIT PREPLANNING FORM button on the bottom of the screen to send your information to Billings Funeral Home.

• Contact
• Obituary
• Funeral Plans
• Funeral Packages
• Payment Plans

Your Contact Information
Name:	(Required)
Email:	(Required)
Address:
City:
State/Zip:	,
Phone:	(Required)

Creating Your Own Obituary
You should note that this web form does not use online security, as for example is used on credit card processing pages. Therefore, you should only provide information you would be comfortable sending in an email.
Date of Birth
Place of Birth
Father's Full Name
Mothers First Name (Do not provide Maiden Name on unsecured page)
Religious Affiliation
Years of Education
Surviving Family
Deceased Family
Work/Occupation
Church Memberships/Affiliations
Club/Organization Memberships
Military Services
Hobbies
Recognition
Newspapers for Placement
Comments:

Your Funeral Plans
Do you have cemetery property?
What is your specific burial attire?
What jewelry should you wear?
Would you like to name your pall bearers?
Do you have a preferred hair stylist?
Are there specific music selections that you prefer?
Do you prefer certain readings or psalms?
What are your wishes with regard to flowers?
What payment arrangements would be best?

Select Your Funeral Package

Planning the details of a service in advance Personalized Service Options Funeral Service Cost Estimate Transferring my funeral plan Assisting parents with planning ahead Cremation Service Options Veterans Services & benefits Free Emergency Information Card (speaks for me if unable to speak for myself)

Payment Plans

At Billings Funeral Home, our experienced funeral directors can aid you in determining a payment plan that meets your budget and your needs. Will you pay for your funeral through: Existing life insurance A monthly payment plan One-time payment in full If monthly payments, what time frame would you consider? 3 Years 5 Years 10 Years

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