My Funeral Wishes
Staunton Funeral Service
My Personal Details
Full name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
County
Postcode
Date of Birth
Religion/ Beliefs
Email
example@example.com
Phone Number
-
Area Code
Phone Number
I have made a Last Will and Testament?
Yes
No
Where to find my Will
My representative
Address
Street Address
Street Address Line 2
City
County
Postcode
Relationship to you
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Other information
Do you have an existing pre-paid funeral plan?
Yes
No
Who is the plan with?
Would you like to discuss funeral plan details?
Yes
No
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My Personal Wishes
Would you like to be buried or cremated?
Buried
Cremated
Burial
Where would you like to be buried?
Please Select
Churchyard
Cemetery
Natural Burial Ground
Other
Which Churchyard would you like to be buried in?
Grave details (if 2nd burial)
Which Cemetery would you like to be buried in?
Grave number (if already owned)
Which Natural Burial Ground would you like to be buried at?
Please specify:
Cremation
Which crematorium would you like to be cremated at?
What would you like to happen with your cremated remains?
Scattered on land or sea
Buried in a grave or cremated remains section
Scattered or buried at the crematorium
Kept at home in a decorative urn
I want to choose a decorative urn now
Other: made into fireworks, jewellery, a tree, tattoos, vinyl record or keepsake bear?
Where would you like your cremated remains scattered?
Where would you like to be buried?
Service Ceremony
I would like my funeral service to take place at
The Crematorium
The Cemetery Chapel
The Cathedral
The Funeral Home
My Church
Natural Burial Ground Hall
Other Venue
I would like my funeral service to be conducted by
Religious Leader
Celebrant
Family or Friend
Other
I would like the following poems and readings to be included in the service:
I would like the following music and hymns to be included in the service:
I would like these particular photographs to be on my service sheet:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
I would like if my family and friends could all wear:
My favourite colour
My favourite flower
Football shirts
No black
Bright clothes
Other
Flowers
No flowers
Family flowers only
Flowers
I would like a floral tribute with these flowers and colours included:
Donations in lieu of flowers
Donations in my memory to:
Newspaper death notice
Newspaper Notices
Yes
No
Which newspaper?
Other ideas
Dove release
Balloon release
Other
Coffin choice
I would like my coffin/casket to be:
Traditional veneered chipboard
Cardboard
Solid wood
Wicker or Bamboo
Shroud
American casket (Wood or Metal)
Cardboard coffin peronalised with a design
I want to choose my coffin now
Viewing
Family and friends viewing
Family only viewing
No viewing - I do not want anyone to see me
The clothes I would like to wear in my coffin:
Please put these personal items in the coffin with me (no glass, batteries, or rubber):
Funeral Vehicles
Hearse
Tractor Trailer
Motorbike Hearse
Tandem Bike Hearse
Horse-drawn Carriage
Limousines
Do you want to pass a particular landmark?
Yes
No
Which landmark would you like to pass?
Would you like limousines or a funeral bus to take mourners and family to your service?
Yes
No
Planning your wake
I would like to have my wake held at:
Headstone Memorial
Is an additional inscription required?
Yes
No
What would you like the additional inscription to read?
If a new headstone, I would like:
A traditional headstone made from granite, marble or similar.
A traditional headstone and kerbset
I would like to see the funeral director's memorial brochure to choose my headstone now.
Other
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Memory Jogger
This memory jogger is a tool to help ensure that the story of your life is told in a way that truly represents who you are. Your input is invaluable in creating a heartfelt and memorable eulogy.
Preferred Name:
Place of Birth:
Parents' Names:
Names of Siblings:
Educational Background (School/College/University):
First Job:
Favourite Job and Why:
Name of Spouse:
Date and Place of Marriage:
First Home:
Names of Children (in order):
Names of Grandchildren/Great Grandchildren:
Special Holidays:
Close Friends:
Favourite Places:
Favourite Hobbies:
Achievements:
Character Traits:
Funny Stories:
Submit
Should be Empty: