Lethborgs Funeral Services Launceston Tasmania

Planning Ahead

Pre-arrange a funeral online

Personal Details

ABABAB

Pre-arranged Information

Surname:

Christian name:

Better know as:

Gender:

Date of Birth:

Place of Birth:

What year did you arrive in Australia:

Retired:

	Yes
	No

Main Tasks Involved:

Place of and age at first marriage:

Place of and age at other marriage:

Subsequent Marriages:

Marital Status:

	Never Married
	Divorced
	Separated but not divorced
	Widowed
	Married
	Defacto

Fathers full name:

Fathers occupation and tasks:

Mothers full maiden name:

Mothers occupation and tasks:

Are you an Aboriginal or Torres Straight Islander:

Place of Residence:

Suburb or Town:

State:

Post Code:

Contact Number:

Email:

Spouse's Details

Full name at marriage:

Age at marriage:

Relationship:

Spouse Place of Residence:

Postal Address:

Suburb or Town:

State:

Country:

Post Code:

Children's Details

Senior next-of-kin:

Senior next of kin place of residence :

Senior Next of kin Postal Address:

Suburb or Town:

State:

Country:

Post Code:

Senior next of kin Contact Number:

Childrens Name	Date of Birth

Arrangement

Public or Private:

	Public
	Private

Cremation or Burial:

	Cremation
	Burial

Single, Double or Reopended Grave:

	Single
	Double
	Reopended Grave

Who would you like to officiate:

Would you mind if relatives and friends wanted to view your body:

	Yes
	No

Where would you like the service to be held:

Where would you like to be buried:

In which newspapers would you like your notices:

What flowers would you like in a coffin arrangement:

What coffin have you selected from our range:

What music would you like played at your service:

Would you like donations collected at your funeral:

	Yes
	No

Which charity would you like the donations to be made to:

Who is your solicitor:

Who is your family Doctor:

Lethborg Funerals will contact you as soon as possible.

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