| My age is: | |
| I am currently: | |
| I am currently: | |
| Are you aware that pre-paid funeral plans exist? | |
| *Have you pre-paid your funeral? | |
| *Have you ever considered a pre-paid funeral plan? | |
| Are you aware you can pre-pay your funeral on a monthly
basis? | |
| Are you aware of the tax advantages of a pre-paid funeral? | |
| *How much might you expect to pay for a funeral? | |
| Have you ever been responsible for making funeral arrangements? | |
| How important to you, personally is the location (proximity)
of the Funeral Home? | |
| Do you own cemetery property? | |
| If you have given any thought to this subject, which
of the following would you choose for yourself? | |
| Do you maintain up-to-date biographical information
and accurate family records to assist you or a loved one with funeral planning? | |
| Have you made firm plans and arrangements for the type
of funeral service you desire? | |
| Are your loved ones and family members aware of what
you desire and prefer for your own arrangements? | |
| *In the event of your death, who would be responsible
for making arrangements? | |
| *Does your family have a preference for a specific
local Funeral Home? (Type Name of Funeral Home) | |
| Are you going to be personally responsible for making
funeral arrangements for a loved one or a close friend? | |
| *Would it give you peace of mind to know that you could
do the planning in advance and that your family would not have to make arrangements? | |
| *Would you like FREE information
about... | Funeral
Service Choices |
| Cremation
Options |
| Government
Funeral Benefits |
| Pre-Planning
Benefits |
| All of the above |
| *First Name | |
| *Last Name | |
| *Month of Birth | |
| *Day of Birth | |
| *Year of Birth | |
| *Street | |
| *City | |
| *Province | |
| *Postal Code | |
| *Phone. No.: | |
| *My E-mail Address is: | |
| *Best Time To Call: | |
| |
