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Online Pre-Planning Form

Please fill out the information below and press "submit" to forward it to our funeral home.

Questions? Call Us 24/7

Information about whom this plan is for:
 
 
Information of Planner:
 
 
Biographical information
 
 
Family information of whom this plan is for:
  • Never Married
  • Divorced/Annulled
 
 
  
 
Education & Work
 
 
 
Military Service
 
 
*Helpful to have DD-214 available if arranging for Military Funeral Honors
 
 
Visitation Options
 
 
Funeral Service Options
 
 
Reception Options
 
 
Would you prefer burial or cremation?
 
 
Final Disposition
 
 
Would you prefer to include a graveside/committal service?
 
 
Thank you for taking the time to complete this form. A member of our staff will review your information and contact you to further discuss the details of your arrangements. Please proceed to the next step.

 

Bevsek-Verbick Funeral Home and Crematory
10210 W Lincoln Ave Milwaukee, WI 53227
(414) 546-4342

Have the Talk of A Lifetime

Bevsek-Verbick Funeral Home and Crematory
W195S6610 Racine Ave Muskego, WI 53150
(262) 679-1444

 
 
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