Pre-Arrange Online

One of the most caring, loving things you can do for your family is to leave detailed information which permits them to make the funeral service a personal tribute the way you would have wanted.

Making funeral arrangements at the time of loss is extremely difficult for those left behind. When the funeral, and sometimes even payment, have been arranged in advance, most of the decisions have been made, sparing uncertainty and confusion at a time when emotional stress may make decisions difficult.

Wouldn't it be better in your situation to plan ahead, calmly and sensibly, when you are in a normal mental and physical state and are able to discuss arrangements with your family?

You may file vital statistics and preferred funeral information with us on-line by filling in the form below or call and set up an appointment to meet with us personally, 601-798-5238.


I. Biographical Information
Full Name:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
   
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded You In Death
Your Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:

II. Military Record
Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences
Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

Miscellaneous Notes and Instructions:

Please select one of the options below:

Please send me information on funeral planning

Please contact me to schedule an appointment

Please place my information on file


 

 

 

Is there someone you'd like to memorialize? Contact us today! - Learn more -
Interested in prearranging? Do it without cost! You can make all your decisions without having to pay upfront. - Learn more -


815 South Haugh Ave. | PICAYUNE, MS 39466 | Phone: (601) 798-5238 | Fax: (601) 799-4729 | Email: picayunefuneral@bellsouth.net