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Preplan Online

Please fill out the information below and click “Submit” when you are finished.


Personal Info
 
 
 
Family Info
 
 
 
 
Education/Work
 
 
Military Service
 
 
Service Options

TYPE OF SERVICE:

 

VISITATION OPTIONS:

 

FUNERAL OPTIONS:

 

RECEPTION OPTIONS:

 
 
 
Service Requests

Please list any musical selections you would like to include in your services.

Please list any poems, religious texts, or readings you would like to be read at your services.

Please list any interests or hobbies you would like to include into your services.

Please list any special themes you would like to include into your services.

Please list any specific foods or beverages you would like to make available to your family and guests at the services.

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

 
 
Final Disposition

 

 

DISPOSITION OPTIONS:

 
 
Contact Informant
 


Thank you for taking the time to complete this form. A member of our staff will review your information and contact you to further discuss the details of your arrangements.

 

Pagenkopf Funeral Home | (262) 567-4457
2228 N. Silver Maple Lane, Oconomowoc, WI 53066

 

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