Preplan Cremation - Care Funeral & Cremation Specialists

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Our Services
About Us
Obituaries
Send Flowers
Resources
Locations
Contact Us

Preplan Cremation

Preplan cremation with CARE Funeral & Cremation Specialists to ensure your wishes will be carried. Just like traditional burial, there are many decisions to make with cremation. Complete the forms below and decide for yourself. The process is seamless with CARE Funeral & Cremation Specialists.

Information about the person completing this form
I am planning for*
Name*
First Last
Middle
Phone*
Email
Address
Street Address Address Line 2 City State ZIP Code
County
Show Detailed Form? (Not required)
- Yes
- No
Information about the person you are planning for
Name
First Last
Middle
Gender
Marital Status
Social Security #
Date of Birth
Month
Day
Year
Place of Birth
Spouse's Full Name
Spouse's Maiden Name
Place of Marriage
Date of Marriage
Month
Day
Year
Mother's Name
Mother's Maiden Name
Father's Name
Work and Education
Education (Primary)
Years Attended
College (1-5+)
Years Attended
Usual Occupation (most of life)
Kind of Business
Company
Military Records
Branch of Service
Serial Number
Dishcharge on file at
Date of Dishcarge
Month
Day
Year
Rank at Discharge
Copy of Discharge
- Yes
- No
Names of War(s)/Conflict(s) Toured
Funeral or Memorial Service Preferences
Place of Service
Name of Funeral Home
Address
Phone
Place of Visitation
I prefer the funeral service to be
Viewing of Family
- Yes
- No
Viewing of Friends
- Yes
- No
Religious Denomination
Place of Worship
Lodge/Union
Person(s) to Finalize Arrangements at Time of Death
Full Name
Street Address
City
State
Zip
Phone
Special Instructions
Flower Preference
Music
1.
2.
3.
4.
5.
6.
Jewelry
Glasses
Clothing
Other
Disposition Options
I prefer
Cemetery
Address
Phone
Section
I have made a last will and testament
Other Information and Special Instructions
Please List any other instructions you would like us to have
Memorials and Charities
Please list any Memorials or Donations that you would like
Contact Options
- Send information about pre-arrangement
- Contact me to set an appointment
- Please keep my information on file
- Please send me information about Treasured Memories® Travel Protection ( The Treasured Memories® Travel Protection Plan removes the burden on your family if death occurs away from home. In the event of the death of the beneficiary more than 100 miles from his or her legal residence, Treasured Memories will fully arrange and pay for all costs involved in transportation from anywhere in the world, saving your family thousands of dollars. )
Email
This field is for validation purposes and should be left unchanged.

Our Services
About Us
Obituaries
Send Flowers
Resources
Locations
Contact Us

Calcutta Chapel

15872 St. Clair Avenue
Calcutta, OH. 43920
330-382-0600
Directions – More Info.

Moundsville Care Chapel

1500 Second Street
Moundsville, WV. 26041
304-810-0435
Directions – More Info.

South Wheeling Chapel

3828 Jacob Street
Wheeling, WV. 26003
304-232-5444
Directions – More Info.

St. Clairsville Chapel

204 West Main Street
St. Clairsville, Ohio 43950
740-695-0475
Directions – More Info.

Wellsville Chapel

509 Riverside Avenue
Wellsville, OH. 43968
330-532-1553
Directions – More Info.

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