Pre-arranged Cremation and Funeral Services

Pre-arranged funeral service is not about you but is about the loved one's you leave behind. We have prepared the following information to help you understand all of the important decisions that you will be faced with when pre-arranging for final care. The most common question that is asked when discussing pre-arranging final care is "Why?" Without a doubt, the most important reasons for pre-arranging your final wishes is to lift that burden from your family at the time of your death. Secondly, if you are pre-arranging a funeral or cremation for one of your family members, it will allow you the opportunity to make sound decisions verses emotional decisions that are made many times at the time of death.. Pre-arranging gives you the opportunity to calmly think through exactly what you want and how you want it. Whether it is by telling us through visiting our funeral home, us coming to your home, or click here to fill out the pre-need questionnaire, pre-arranging for final care is a true gift.

Pre-arranging also allows you to pre-finance your funeral services. Although this is something that is not required, it will only further help to ease the burden on your family at the time of death. If you would like to talk to Shannon Mullins about pre-arrangements and /or pre-funding a funeral or cremation or if you just have questions, we invite you to call us at (239) 242-0909, and we will help you in any way we can. However if you can't or don't currently feel a need to contact us for any reason, we would encourage you to use our pre-need questionnaire which contains questions about all the information that your family will need at the time of death. Our stance on pre-arranged funeral services as well as at need services is the same; there is no right or wrong way to do it, but ensuring your wishes are known is of utmost importance to the one's you love and care about.

Personal Information:
First Name:
Middle Name(s):
Last Name:
Telephone Number:
E-mail Address:
Mailing Address:
Town/City:
State:
Zip Code:
Date of Birth:
Place of Birth:	(City/State or County/State or Country)
Marital Status:
Spouses Name:	(Maiden name & full name of wife or husband's full name)
Occupation:	(for longest period during working life)
Social Security Number:
Father's Full Name:
Mother's Full Name:	(include her maiden name)

Person who will be in charge of my funeral arrangements:
Name:
Mailing Address:
Town/City:
State:
Zip Code:
Telephone Number:

Military Information:
Branch of Service:
Description of Service: (Wars fought in, medals earned, military campaigns)
Veteran's Service Number:
Highest Rank Achieved:
Location of Discharge Papers:

Family Members:

Spouse: (Address and phone numbers)

Daughters: (Hometowns and phone numbers)

Sons: (Hometowns and phone numbers)

Grandchildren: (Hometowns and phone numbers)

Sisters: (Hometowns and phone numbers)

Brothers: (Hometowns and phone numbers)

Other Relatives: (List relation, hometowns, and phone numbers)

My Funeral Service Preferences:
Place of Service: (Funeral Home, Church, Graveside, or other)
Clergy: (Minister's hometown and phone number)
Type of Disposition: Burial Entombment Cremation *Other (Describe Below)*
Cemetery Property Owned? Yes No
Name of Cemetery: (Include: Location of Cemetery, City, & State)
Cemetery Preference: (If property not owned, include location of cemetery, city & state)
Music Selections: (Organ/piano background, live vocal, or recorded music ~ If live vocal include the vocalists names and phone numbers)
Pallbearers or Honorary Pallbearers: (Include pallbearers hometown, home phone number, and bearer type designation) (A = Active Bearer, H = Honorary Bearer)
Lodge, Society, Fraternal Organization: (List involvement and if you would like an honor guard)
Flowers:
Memorial Contributions / Donations:
Obituary Information: (List education and place of schooling, wedding date and place, work history and places I lived and worked, Clubs, Lodges, Hobbies, what I liked doing, significant accomplishments, Boards, Committees and community and Church involvement, etc.)
Any information or special instructions not previously listed:

Please check as many of the following as apply:
Please contact me so that I may select my casket and vault in advance.
Please forward me a copy of my information for my records.
Please contact me if any of my submitted information needs clarification.
File my information for future reference at Mullins Memorial Funeral Home and Cremation Service, but please do not contact me.
I would like to discuss my pre-payment options with no obligation, please contact me.

Funeral and Cremation Cape Coral, Fort Myers, Estero, Bonita Springs, Naples,
Marco Island, Sarasota, Port Charlotte, Punta Gorda and SWFL