Obituaries
Services
Pre Plan
- Pre-Planning Form
- Pre-Planning
About Us
- About Us
- Our Staff
Veterans
Join Our Team
Contact Us

Obituaries
Services
Pre Plan
- Pre-Planning Form
- Pre-Planning
About Us
- About Us
- Our Staff
Veterans
Join Our Team
Contact Us

Pre-Planning Form

Pre-planning with us

Your Information

Your Information

Your First Name

Your Last Name

Email:

Phone:

Information about the person we are planning for

Information about the person we are planning for

Who's this plan for?

Case Name

Case Last Name

Gender

Male

Female

Other

Birth Date

Birth Place

Address - If Living

Family Information

Family Information

For the person we are planning for

Marital Status:

Married

Single

Widowed

Father's Full Name

Mother's Full Name

Siblings (Living)

Siblings (Deceased)

Children (Living)

Children (Deceased)

Grandchildren (Living)

Grandchildren (Deceased)

Great-Grandchildren (Living)

Great-Grandchildren (Deceased)

Education & Work

Education & Work

Highest Level of Education

School Name

School Location

Occupation

Years at Company

Military Service?

Yes

No

Branch of Service

Years Served

Interested in Honors?

Yes

No

Funeral Ceremony Options Title

Service Details

Funeral Ceremony

Visitation Options

Reception Options

Would you prefer a burial or a cremation?

Would you prefer to include a memorial service?

Yes

No

Have cemetery arrangements been made?

Ceremony Requests

Ceremony Requests

musical selections you would like to include in your ceremony.

poems, religious texts, or readings you would like to be read at your ceremony.

Interests or hobbies you would like to include at your ceremony.

Special themes you would like to include in your ceremony.

Specific foods or beverages you would like to be made available at your ceremony.

Is there a special story, personal thank you, or message of hope you would like to be read during your ceremony.

Thank you for contacting us.
We will get back to you as soon as possible.

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Here to Serve You in Your Time of Need

Our goal is to help you through this difficult time, and we will do everything we can to make the process as smooth and stress-free as possible.

CONTACT US

LINKS

Obituaries
About Us
SERVICES
Pre-Planning

CONTACT US

(704) 953-7500

info@magnoliafuneral.com

ADDRESS

11240 E. Independence Blvd Matthews, NC 28105

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