Funeral Service Details

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The following information is designed to help guide you and your family through many choices associated with Funeral Arrangements. France Family Funerals will organise and arrange all aspects of these arrangements at the time of the funeral on behalf of you and your family. By taking just a few moments to complete this form you will greatly benefit your family in the future.

Once completed, the information from this form will be lodged with France Family Funerals until required. After submitting the form you will be able to print a printer friendly version to keep in a place known to your family.

Please note this is NOT a legal document, it is designed simply to guide your family during a most difficult time. Please ensure that you have made a will and that it is kept up-to-date.

Click here to download a copy of the Funeral Service Details Form.

Personal Details
Name of Applicant
Date:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Title:	Dr Mr Mrs Miss Ms Other
Surname:
Given Names:
Address:
Suburb:				State: ACT NSW NT QLD SA TAS VIC WA    Postcode:
Date of Birth:	/ /			Country of Birth:
Type of Service
Cremation	Crematorium Name:
	Location:
Burial	Cemetery Name:
	Location:
Is this a Pre-Paid Funeral:	Yes	No
If Yes, Please Specify:	Name:
	Number:
If Cremation
Ashes to be Delivered to:
Ashes to be Scattered:
Reservation Details for Ashes (If applicable);
Memorial for Ashes
Please provide details:
If Burial
State Grave Number (If known):
Licence Holder:
New Grave: (Please tick)
Place/s of Service
Is the Service to Be Held Entirely in One Place or Is it Be Split Between Two Locations (Please Tick):
	Single Location Service
	Double Split Location Service
France Chapel	Suburb:		-- Mayfield Nelson Bay Stockton Toronto
Church	Church Name:
	Church Location:
	Church Address:
Crematorium          Chapel	At the Crematorium Named Above.
Cemetery          Chapel	At the Cemetery Named Above.
Graveside	At the Cemetery Named Above.
Other          (Please State)
Is the Service to be Private (i.e. - No times will be published)?		Yes	No
Preferred Religion / Celebrant
Special Requests
Club & Community Organisation membership:
What Organisations, if any , are to take part in the service?: (e.g. RSL, Masons, etc.)
Music To Be Played At The Service:
Names of People To Speak at the Service:
Types of Flowers For Coffin:
Names of People to Carry Coffin (Pallbearers):
Other Special Instructions:
Your Name:
Your Address:
Your Phone:	( )
Your Email:

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