Phelps-Son Funeral Home, Inc.

Pre Arranged Funeral Information

Name________________________________________________________________________

Address____________________________________City______________________________

State______________________Zip Code______________Tele.#_______________________

Occupation___________________________Social Sec #______________________________

Place of Birth________________________________Date of Birth______________________

Father_______________________________ Mother_________________________________

Performing Est._____________________________Cemetery__________________________

Relationship of Person Making Arrangements_______________________________________

Name________________________Address________________________________________

City__________________________State________________Zip Code__________________

Tele#_________________________SS#___________________Birth date_______________

Name of Spouse:_____________________________________________________________

Names of Children:___________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

Names of Brothers and Sisters:_________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Grandchildren:___________Great Grandchildren:_________ G.G. Grandchildren__________

Minister(s)_______________________Place of Burial________________________________

Place of Service:_____________________________________________________________

*Payment Information: Cash, Check or Insurance__________________________________

____________________________________________________________________________

Pre-Need Arrangements

Thank you for visiting our pre-arrangement web page. We know that when arrangements are discussed before
the need arises, a great amount of anxiety and emotional stress is avoided. By pre-planning the funeral, you can
accomplish the following things:

1. FREEZE THE COST of our services and merchandise at today's price.
2. PROTECT YOUR FAMILY from emotional stress.
 3. MAKE YOUR OWN DECISIONS about what type of funeral service you want.
4. PEACE OF MIND for you and your family is your greatest accomplishment.

We offer a wide range of funeral prices to meet the desires or needs of everyone in the community. Funding of 
our prearranged funeral service can be designed to meet your needs. We have available insurance products and 
legal trusts.