Celebration of Life Service – PreplanCelebration of Life Service - PreplanCelebration of Life Service – Preplan Price: $1,125.00 This is our complete cremation package for those that want the simplest arrangements without frills. Celebration of Life Service Package includes: Removal from Place of Death and Transfer into our Care: $125.00 Preparing, Securing, Filing and Obtaining Necessary Documents: $275.00 (Authorization for Cremation, Death Certificate, Cremation Permit, Social Security Forms) ***Standard Cremation Fee $295.00 Basic Cremation Container: $75.00 Cremation Permit Fee $25.00 (required by State of Tennessee) Services of Funeral Director & Staff for Memorial Service at Church or Graveside : $250.00 “Value Plus” Memorial Package includes Guest Register, Memorial Folders and Acknowledgement Cards and DVD Video Tribute : $80.00Breakdown of Just Cremation PackageRemoval from Place of Death and Transfer into our Care: $125.00 Preparing, Securing, Filing and Obtaining Necessary Documents: $275.00 (Authorization for Cremation, Death Certificate, Cremation Permit, Social Security Forms) ***Standard Cremation Fee: $295.00 Basic Cremation Container: $75.00 Cremation Permit Fee: $25 (required by State of Tennessee) Additional ServicesAdditional Services Private Family Viewing ( No more that 6 persons for 1 hour at Crematory, this includes our fee for Sanitary Care of the Decedent: Bathing, Posing Features, Dressing in Hospital Gown) Services of Funeral Director & Staff and Equipment for Memorial Service at a Church or Other Facility (without the body present) Mailing of Cremated Remains vis U.S. Postal Service Priority Express Mail (includes packaging, delivery to post office, postal fees) Delivery of Cremated Remains to a local cemetery/church/ or residence with Metro Nashville-Davidson County. Mailing of Death CertificatesMerchandisePlease Select an Urn to hold the Cremated Remains of the Decedent:UrnsTemporary Urn (INCLUDED IN PACKAGE PRICE)Cherry MDF Urn (OPTIONAL)Tribute (OPTIONAL)Classic Bronze (OPTIONAL)Albury (OPTIONAL)Argus (OPTIONAL)Mementos & KeepsakesClassic Bronze KeepsakeAdria White HeartBlue CloisonneArlington MementoSpring MementoJewelryElegante Heart/BrassCross PendantRemembrance PendantAutumn PendantSapphire Seas PendantCASH ADVANCE ITEMSPlease Select the Number of Certified Copies of the Death Certificate that you would like for us to obtain for youDeath Certificates012345Total $0.00 **The Removal and Transfer Fee includes institutions with Metro Nashville Davidson County, and within a 50 mile radius of our office. Additional fee of $2.25 per mile one way will be incurred for distances in excess of 50 miles. ***The Standard Crematory Fee is for persons weighing less than 400 lbs. Decedents in excess of 400 lbs. may incur additional crematory fees as outlined in our General Price List.Who is this Pre-Arrangement For?Name* First Middle Last SexMaleFemaleAge After Last BirthdayDate of Birth* Date Format: MM slash DD slash YYYY BirthplaceCity and StatePlace of DeathMarital Status*SingleMarriedMarried But SeparatedDivorcedWidowedUnknownPlease List All SurvivorsRelationship to Decedent, Name, City, State (One line per name)Surviving Spouse(If wife give name prior to first marriage)Decedents’s Usual OccupationNote: Disabled or Retired is not suitable.Education (highest completed) Elementary & Primary (0-12)Choose One123456789101112Higher EducationChoose OneNoneSome College CreditAssociates DegreeBachelors DegreeMasters DegreeDoctorateKind of Business/IndustrySocial Security NumberDecedents Residence* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Was Decedent Ever In the Armed ForcesYesNoDecedents Race(White, Black or African American, American Indian, Asian Indian, Other please specify)Decedents Father’s NameDecedents Mother’s Name Prior to First MarriageInformant’s Name:*(First Name, Middle Name, Last Name)Relationship*Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Email Address*Phone*PhoneThis field is for validation purposes and should be left unchanged.
