Standard Cremation – PreplanJust 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 MementoJewelry Elegante Heart/Brass Cross Pendant Remembrance Pendant Autumn Pendant Sapphire Seas PendantCASH 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 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 Phone*Date* Date Format: MM slash DD slash YYYY 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 NoHighest 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 MailEmailThis field is for validation purposes and should be left unchanged.
