Edgley Cremation Services

Edgley Cremation Services offers non-funded Pre-Arrangements... If you are considering Pre-Planning your funeral arrangements, give us a call and we can help guide you through this decision. We will document all of your wishes and provide you with the necesary paperwork and "To Do List" so you can put all your affairs in order. We do not collect any monies at this time. Payment is made when services are rendered.

Personal Information

Planning for:
Full Name:
E-mail:
Address:
City:
County:
State:
Zip Code:
Phone:

I am:
Full Name (if your plan is for someone else):
Date of Birth:
Place Of Birth:
Spouse's Name:
Spouse's Maiden Name:
Place of Marriage:
Date of Marriage:
Mother's Name:
Mother's Maiden Name:
Father's Name:

Occupational Information

Occupation:
Business or Industry:
Company or Employer:
Title:
Years of Service:

Military Information

Service Branch:
Serial Number:
Date Enlisted:
Date Discharged:
Rank At Discharge:
Years of Service:
Place of Service:
War Service:

Informant Information

Last Name:
First Name:
Middle:
E-mail:
Address:
City:
State:
Zip Code:
County:
Phone:
Relation to Deceased:

Final Disposition

Ground Interrment

Ground Interrment - Burial Vault

Ground Interrment - Concrete Liner

Mausoleum Entombment

Cremation

Cremation - Niche Entombment

Cremation - Home Memorial

Cremation - Scattering

Cremation - Burial

Name of Cemetery/Crematory:
Address:

Service Information

Service Will Be:
Visitation Location:
Service Location:
Concluding At:
Religion:
Place Of Worship:
Clergy to Officiate:
Other Special Instructions (pall bearer names, clothing & jewelry to be worn, items for a memento display, etc.)

Requested Music:
Poems or Passages of Scripture to be read:
Flower Arrangements:
Transportation Requests