Standard Cremation – Preplan Just Cremation PackageStandard Cremation Preplan Package Price: $995.00 This is our most popular cremation package Breakdown of Basic Services: **Removal from Place of Death and Transfer into our Care: $125.00 Preparing, securing, filing and obtaining, necessary documents. ( Authorization for Cremation, Certificate of Death, Cremation Permit, Social Security Forms): $275.00 ***Standard Fee of the Crematory: $295.00 Standard Cremation Container ( Heavy Corrugated Fiberboard, Crepe Interior Lining and Pillow, Woodgrain Exterior Appearance): $195.00 Basic Urn ( wood veneer finished, MDF, medium density fiberboard): $80.00 State of Tennessee Cremation Permit Fee: $25.00 Pre-Need Administrative Fee (for additional record keeping and administrative costs): $65.00 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) Delivery of Cremated Remains to a local cemetery/church/ or residence with Metro Nashville-Davidson County. Mailing of Cremated Remains vis U.S. Postal Service Priority Express Mail (includes packaging, delivery to post office, postal fees) MerchandiseCremation ContainersSeymour Solid Pine Casket Satin InteriorUrnsCherry MDF UrnTributeClassic BronzeAlburyArgusMementos & Keepsakes Classic Bronze Keepsake Adria White Heart Blue Cloisonne Arlington Memento Spring Memento Jewelry Elegante Heart/Brass Cross Pendant Remembrance Pendant Autumn Pendant Sapphire Seas Pendant CASH ADVANCE ITEMSDeath Certificates Price: $7.00 Quantity: Total $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. Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Date* Social Security NumberCity of BirthState of BirthCounty of ResidenceCity, Boro or Township of residenceFather's full name First Middle Last Mother's full maiden name First Middle Last Marital StatusSingleMarriedDivorcedWidowedFull Name of SpouseRace(White, Black or African America, American Indian, Asian Indian, Other please specify)Hispanic Yes No Highest Education Completed(8th grade of less, 9 to 12 no diploma, GED or High School Grad, Some College, List Degree Achieved, Other please specify)Occupation Before RetirementWhat the new member did during most of working life - CANNOT USE RETIREDNext of Kin (person in charge)Next of Kin addressNext of Kin phone #Next of Kin email addressWho should receive paperwork for completion?Next to KinNew MemberDelivery method of paperworkEmailPostal MailPhoneThis field is for validation purposes and should be left unchanged.
