PFC Permit #746

Pre-Arrangements Form

Use this form to provide us with as much or as little detail as you wish.  At a minimum, provide us with your name and telephone number and tell us how you'd like us to work with you on the remaining information using the options at the base of the form.

Pre-Arrangement Details

Please Bring the Following Info with You to Your Appointment. We will make this a part of your file.

Your Favorites: (Here is a chance to talk about yourself)

We will give them back and make them a part of your file.

Personal Information

Please use the area above to enter the names of siblings, children and grandchildren.

Work/Education History

Military Record

Bring your DD214 Form with you to your appointment

Funeral Service Request

Fraternities/Sororities/Clubs/Professional Organizations
(signage,flags, banners, other)

Disposition Request

(if applicable)
(if applicable)
(if applicable)

Summary Details

Visit www.prepaidfunerals.texas.gov for information relating to the purchase of pre-need funeral contracts including descriptions of the trust and insurance funding options available under state law.
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