Pre-Planning
Most of us plan ahead in life.  We plan everything from our children’s education to retirement.  We also plan our ultimate demise by purchasing life or burial insurance.

We are the experts in preplanning, prearrangements and burial insurance.  
Please give us a call at (864)-225-2220 or fill out the contact form below.  




Marcus D. Brown Funeral Home
Phone Number: (864)- 225-2220
preplanning@marcusdbrownfuneralhome.com


Historical Record
Today's Date:
  

Name:  

Address:
  

  # of years at address:
  

City:
  

County:
  


(State)
  

  Zip Code:
  

Tel. No.:
  

Education:
  

Birth Date:
  
Current Age :
  

Birthplace: City
  
County:
  

Occupation:
(Previous if retired)
  
    
Employer:
(or retired from)
  
  

Marital Status:
Single  MarriedDivorced  Widowed

Spouse Name:


  

Maiden Name :

  

Marriage Date:

  

Marriage Place:

  

In State Since:

  

In City Since:

  

Moved From:

  

Social Security #:

  

Name of Father:

  

Date if Deceased:

  

Birthplace: (City)

  

(State)
  


Mother's  Name:
(Maiden)

  

Date if Deceased:

  

Birthplace: (City)
  

(State)

  
Veteran Information

Name of War:

  

Service Number:

  

Branch of Service:

  

Place Inducted:

  

Date:

  

Place Discharged:

  

Date:

  

Rank when Discharged:

  

Discharge papers located:

  
Flag to drape casket:

   Yes     No

Personal Wishes and Desires:

This is information families never discuss-espically the children.
But yet, if something had happened to you last night,
these are the questions your funeral director
would be asking your family today.

Would you have had your service:

  At the funeral home

  the church

  Other

  

What is the name of your church?

  

Who's your favorite minister,priest or rabbi?

  

Are there any readings or scriptures that are speical to you?


Many people have a favorite song or hymn. What's yours?


Some families prefer a memorial donation instead of flowers. What is your feeling?
Memorial Donation  

FlowersBoth

What clothing would you prefer?

  

Would you like to wear jewelry?

   Yes   No

To be removed?

   Yes     No

Would you like to wear eyeglasses?

   Yes     No

Do you have cemetery property?

   Yes     No

Name and Location of Cemetery:

  
Lot #  Space # 

Most families prefer to have friends, neighbors, or relatives serve as active or honorary pallbearers. Who would you prefer?

Active Pallbearers: 


Name:  


  Phone: 


Name:  


  Phone: 


Name:  


  Phone: 


Name:  


  Phone: 


Name:  


  Phone: 


Name:  


  Phone: 

Honorary Pallbearers: 


Name:  


  Phone: 


Name:  


  Phone: 


Name:  


  Phone: 


Name:  


  Phone: 


Name:  


  Phone: 


Name:  


  Phone: 
Names of Children:

Name:Phone:Address:






















Brothers & Sisters:
Name:

Phone No:


Address:


Relationship:































Good Samaritans

This is where we list your closest friends in the event your family needs help at the time of need by:

Notifying Friends

Handling sympathetic phone calls

Running Errands

Helping out-of town guest





Would like to schedule anappointment to discuss prepaid funeral arrangements?

   Yes     No

If yes, what is the best way to contact you ?

E-mail

Enter e-mail address here:  


Phone


  Enter phone number here: Area Code first 


U.S. Mail


Enter complete mailing address  


Address:  
City:
State:
 Zip:

For the purpose of relieving my family in the event of need, the preceding arrangements are my personal wishes and desires.

Note: Don't forget to print this form for your own records (hit print located on your browser)
















     copyright 2004 © Marcus D Brown  1212 South Main Street    Anderson SC 29624