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(800) 366-6483

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Overview
Why Plan Ahead?
Pre-Planning Checklist
Online Pre-Planning Form
Lunch & Learn

Online Pre-Planning Form

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

Information about whom this plan is for

First Name:

Middle Name:

Last Name:

Gender:

Male
Female

Your information

First Name:

Middle Name:

Last Name:

Phone:

Email:

Password:

Biographical information

Birth Date:

Birth Place:

Family information

Marital Status

Married
Single
Widowed

Name of Spouse:

Marriage Date:

Maiden Name of Spouse:

If deceased, date of death:

Father's Name:

Address - If Living:

City:

State:

Zip/Postal Code:

Mother's Name:

Address - If Living:

City:

State:

Zip/Postal Code:

Siblings (Living):

Siblings (Deceased):

Children (Living):

Children (Deceased):

Grandchildren (Living):

Grandchildren (Deceased):

Great Grandchildren (Living):

Great Grandchildren (Deceased):

Education & Work

Highest Level of Education:

School Name:

School Location:

Occupation:

Company:

Years at Company:

Location you would like to serve you

Do you have an appointment scheduled with one of our staff:

Yes
No

I am planning for:

Special Instructions:

Military Service

Military Service

Yes
No

Branch of Service:

Years Served:

Is a copy of the discharge papers available:

Yes
No

Is there an Executor/Executrix?

Yes
No

I have a last will and testament:

Yes
No

Name of Cemetery:

Do you have life insurance:

Yes
No

Visitation Options

Visitation at funeral home.
Visitation at:
I do not wish to have visitation hours.

Funeral Service Options

Funeral service at funeral home.
Funeral service at:
I do not wish to have a funeral service.

Reception Options

Reception at funeral home.
Reception at:
I do not wish to have a reception.

Would you prefer burial or cremation?

Burial
Cremation

Final Disposition

Ground Interment (burial)
Mausoleum Entombment (above ground burial)
Columbarium (for cremation urns)
Ashes returned to family

Would you prefer to include a gravside/committal service?

Yes
No

Service Requests

Please list any musical selections you would like to include in your services.

Please list any poems, religious texts, or readings you would like to be read at your services.

Please list any interests or hobbies you would like to include into your services.

Please list any special themes you would like to include into your services.

Please list any specific foods or beverages you would like to make available to your family and guests at the services.

Is there a special story, personal thank you, or message of hope you would like to be read during your services?

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.

The Donohue Funeral Homes, Inc.
&
Spencer T. Videon Funeral Home

UPPER DARBY

James L. Huf, Supv.
8401 W. Chester Pike
Upper Darby, PA 19082

Ph: (610) 449-0300

Map & Directions

The Donohue Funeral Homes, Inc.
&
Rothermel-Videon Funeral Home

NEWTOWN SQUARE

Daniel F. Donohue, Supv.
3300 W. Chester Pike
Newtown Square, PA 19073

Ph: (610) 353-6300

Map & Directions

The Donohue Funeral Homes, Inc.
&
Ralston & Bredickas Funeral Home

DOWNINGTOWN

John J. Donohue, Supv.
43 W. Lancaster Ave
Downingtown, PA 19335

Ph: (610) 269-3080

Map & Directions

The Donohue Funeral Homes, Inc.

WAYNE

Peter F. Huf, Supv.
366 W. Lancaster Ave
Wayne, PA 19087

Ph: (610) 989-9600

Map & Directions

The Donohue Funeral Homes, Inc.

WEST CHESTER

James T. Donohue, Supv.
1627 W. Chester Pike
West Chester, PA 19382

Ph: (610) 431-9000

Map & Directions

The Knoetgen-Donohue Funeral Home, Inc.

MORTON

Michael K. Donohue, Supv.
746 Kedron Ave
Morton, PA 19070

Ph: (610) 544-0600

Map & Directions

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