This pre-planning form is designed to allow our funeral homes to gather basic information about you and your desired funeral service. All information submitted will remain absolutely confidential.

Personal Information

Name (First, MI, Last):
Date of Birth:
Place of Birth:
Addresss:
City:
County:
State:
Zip Code:
Phone:
E-mail: ***
Marital Status:
Spouse's Name:
Spouse's Maiden Name:
Place of Marriage:
Date of Marriage:
Father's Name:
Mother's Name:
Mother's Maiden Name
Children and their residency:
*** Required Information  

Funeral Service Requests
Funeral Home Preference:
Location of Service:
Organizations you have or currently belong to:
Place of Worship:
Memorials:
Person in charge of Final Arrangements:
Other Instructions:
Please select an Option: Please send me informtion about Pre-arrangement.
Contact me to set up an appointment.
Please keep my information on file.
   

 

 

H. E. Turner & Company
403 East Main Street
Batavia, New York 14020
585.343.8868

Bohm ~ Calarco ~ Smith
308 East Main Street
Batavia, New York 14020
585.343.5673

H. E. Turner & Company
51 South Lake Street
Bergen, New York 14416
585.494.1210

Burdett & Sanford
11 Maple Avenue
Oakfield, New York 14125
585.948.5325

© 2009 Batavia Funeral Homes