On-line Pre-arrangement Form

Mature and intelligent families believe in planning. In this way, they can meet the needs of the future with the satisfaction of security. Pre-arrangement is in the best tradition of free choice. It is voluntary and non-compulsory. This is in sharp contrast to compulsory and emergency needs when last-minute decisions must be made under stress of time.

This is why pre-planning and pre-arrangement of burial needs has been accepted by 50 per cent of the American public. And pre-arrangement continues to grow at an even greater pace, as Americans continue to understand the logic and common sense of meeting an inevitable need by this thoughtful and economic method.

Pre-arrangement- as a great cross section of clergy and others have attested- is an answer to lower costs of burial and funeral expense. It is an investment in human values, bringing security and peace of mind to every member of your family. Once a decision is made in this matter, you have the comfort of knowing these details are provided for once and for all.

Pre-arrangement protects your family against inevitable inflation. When you pre-finance, you pay a fixed price that will never change in the many tomorrows ahead. Your money is protected by being laced in a bank trust or funded by an insurance plan.

Please take a few minutes to fill out the Online Pre-arrangement form below. Once the information is submitted, a Caramenico Funeral Home, Inc. representative will review and file it and will be in touch with you to further discuss the details of your arrangements.

If you'd prefer, a printer-friendly version of this form is also available for you to download and fill out manually. CLICK HERE for further instructions and the download link, if interested.

NOTE: Fields marked with an asterisk ( * ) are required. Any information you submit will be held in the strictest confidence - we do not release any information to outside parties under any circumstances.

Information About the Person Completing this Form:
* First Name:
* Last Name:
Middle Name:
* E-mail:
Street Address:
City:
County:
State:
Zip Code:
Phone:
Person for Whom I Am Pre-arranging:

Vital Information About the Person for Whom Pre-arranging Is Being Done:
Last Name:
First Name:
Middle Name:
Sex:
Marital Status:
Date of Birth:	(ex. 1999)
Place of Birth:
Spouse's Full Name:
Spouse's Maiden Name:
Place of Marriage:
Date of Marriage:	(ex. 1999)
Father's Full Name:
Mother's Name:
Mother's Maiden Name:

Work and Education:
Education:
Usual Occupation (most of life):
Kind of Business:
Company:

Military Records:
Branch of Service:
Serial Number:
Date Enlisted:
Rank At Discharge:
Date Discharged:
Discharge On File At:
Copy of Discharge Papers:	Yes No
Name(s) of War(s)/Conflict(s) Toured:

Funeral Service Information:
Place of Service:
Name of Funeral Home:
Address:
Phone:
Place of Visitation:
I Prefer the Funeral Service To Be:
Viewing for Family:	Yes No
Viewing for Friends:	Yes No
Religious Denomination:
Place of Worship:
Lodge / Union:

Person(s) To Finalize Arrangements At Time of Death:
Check here and skip this section if the person filling out this online form is also the person making the final arrangements.

Full Name:
Street Address:
City:
County:
State:
Zip Code:
Phone:

Special Instructions:
Flower Preference:
Music
Casket Bearers (x6):
Jewelry:
Glasses:
Clothing:
Other:

Disposition Options:
I Prefer:
Cemetery:
Address:
Phone:
Section:
I Have Made A Last Will And Testament:	Yes No

Other Information & Instructions:
Please list any other instruction or information you would like us to have:

Memorials & Charities:
Please list any memorials or donations to charity that you would like to declare:

Options:

Please select one of the options below:

Send Information About Pre-arrangement

Contact Me To Set An Appointment

Please Keep My Information On File

Pre-arrangement Form - Printer-friendly Version:

You can download the printer-friendly version of the Pre-arrangement form to your local computer from the link below. Once downloaded, open the PDF *, and enter your information on the form, then print it out on your printer. You may then either mail or fax it to us at the address or fax number below, or bring it with you when you visit.

» CLICK HERE to download the form - choose to, 'Save to Disk,' in the dialog box that appears (download times will vary depending upon connection.)

* NOTE: Adobe Acrobat Reader software is required to view this file - if you don't already have the Reader installed on your computer, it is available for free from Adobe's website - please click the icon at right to be taken to the download page.

Mail completed forms to the following address,
or fax them to the number below:

Caramenico Funeral Home, Inc.
403 E. Main Street
Norristown, PA 19401

Fax: 610.279.7778

Please call with any questions: 610.275.7777

Corner of Main & Walnut Streets • 401-03-05 E Main St • Norristown, PA 19401 • 610.275.7777 •

Home | Contact Us

On-line Pre-arrangement Form

Information About the Person Completing this Form:

Vital Information About the Person for Whom Pre-arranging Is Being Done:

Work and Education:

Military Records:

Funeral Service Information:

Person(s) To Finalize Arrangements At Time of Death:

Special Instructions:

Disposition Options:

Other Information & Instructions:

Memorials & Charities:

Options:

Pre-arrangement Form - Printer-friendly Version: