Lahey Funeral & Cremation Service

Preplanning Makes Sense

If funeral expenses are a concern to you, preplanning makes sense. It is estimated within the next decade, 8 out of every 10 funerals provided will be prearranged.

Preplanning allows you the opportunity to choose things that are meaningful to you and your family without the emotional burden, while paying attention to your budget and your faith.

We offer several options to prepay for funeral services: monthly payments, insurance coverage, or single payment plans. Our funeral home is one of the few that offer a guaranteed funeral program. Simply put, a guaranteed funeral is provided in the future for no additional cost to your family. The original amount you have paid with accumulations of dividends and interest will cover the cost in the future with our funeral home.

Begin Pre-planning Now

The information you provide below will help us assist you in pre-planning your services. There are many good reasons to pre-plan. You are under no obligation to make a purchase or commitment when you pre-plan with us. To begin pre-planning now, please complete the below.

Your Full Name:

Your Email Address:

Your Maiden Name:

Street/Mailing Address:

City:

State:

Date of Birth:

Place of Birth:

Social Security Number:

Spouse's Name:

Spouse Survived?
Yes No

Marital Status:

Date of Marriage:

Place of Marriage:

Names of Previous Spouses:

Names of Parents:

Address of Parents (if still living):

Names of Children:

Addresses and Phone numbers of Children:

Names of Brothers and Sisters:

Addresses and Phone numbers of Brothers and Sisters:

Names of other friends and relatives who should be notified:

Addresses and Phone numbers of other friends and relatives:

Occupation:

Names of present and previous employers:

Addresses and Phone numbers of present and previous employers:

If you are a veteran

Date of enlistment:

Place of enlistment:

Date of discharge:

Place of discharge:

Rank:

Service Numbers:

Organization or outfit:

Commendations received:

Location of discharge papers:

Flag desired to drape casket:

Religious affiliation:

Professional and fraternal organization memberships:

Education (list schools attended and dates of any degrees or honors received):

Names of newspapers for obituary:

Organ Donation (list of authorized card and anyone who should be notified):

Clergyperson or anyone else you would like to officiate:

Funeral Service Location:

Visitation instructions:

Music, hymns or readings you would prefer during your service:

Memorial Donations you would like in your memory:

Names and Addresses and Phone Numbers of casket bearers:

Cemetery Name:

Address and location of cemetery property (include lot and grave number):

Casket and/or vault preference:

If you wish to be cremated, include disposition preference:

The name of the executor of your estate:

Insurance company name and policy numbers:

Location of insurance policies:

Any additional instructions:

Your personal interests and hobbies:

Other information regarding yourself or your funeral preferences:

I would like a home visit from our funeral director or funeral pre-planning counselor to do more planning or to prepay for services and take advantage of pre-payment discounts.

Lahey Funeral & Cremation Services
Maquoketa, Wyoming, Olin, Oxford Junction, & Lost Nation, Iowa
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