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Victory Funeral Services

Providing heartfelt services with dignity

Funeral Pre-Planning Form

(Page 2)

Type of service you desire:

Traditional Funeral with BurialMemorial Service with BurialFuneral Service with EntombmentGraveside ServiceFuneral Service with CremationDirect CremationNo Formal Service

Viewing Preferences:

Family OnlyDuring visitation onlyPrior to funeral service onlyPrior to funeral service and at end of serviceEnd of funeral service onlyAt graveside serviceNo viewing

Name of Desired Cemetery (if owned, give description if available, e.g., Memorial Gardens, Kilgore, TX, Section 3, Block D, Lot 28):

Plot in Whose Name:

Location of Deed (e.g., safe deposit box at):

Cemetery Contact Person:

Cremation - Disposition of Ashes:

Funeral service to be held at:

ChurchFuneral HomeOther

Name of facility:

Clothing Instructions:

Clergy - State name and phone number Eulogist:

Scripture: Old Testament:

Scripture: New Testament:

Prayer:

Soloist(s) (separate by commas):

Acknowledgement read by:

Master or Mistress of Ceremony:

Special reading of poem, story, etc.

Remarks from audience?

YesNo

Visitation/Wake Location:

If veteran;

Casket Spray on casketU. S. flag draped over casket

Fraternal Affiliations:

MasonsShrinersHeroines of JerichoOrder of the Eastern StarGrand Court Order of Calanthe

Greek Organizations:

Delta Sigma Theta Sorority, Inc.Alpha Kappa Alpha Sorority, Inc.Zeta Phi Beta Sorority, Inc.Sigma Gamma Rho Sorority, Inc.Alpha Phi Alpha Fraternity, Inc.Kappa Alpha Psi Fraternity, Inc.Omega Psi Phi Fraternity, Inc.Phi Beta Sigma Fraternity, Inc.Iota Phi Theta Fraternity, Inc.

Comments and/or Location of Fraternal or other Organizational Jewelry/Regalia:

Schools Attended and Year Attended:

Church Membership or Affiliation:

Employment:

Social or Union Membership

Political Position Held:

Boards Served On:

Special Recognitions (i.e., athletic, political, religious, etc):

Children Names:

Siblings:

Aunts and Uncles:

Number or names of grandchildren:

Pre-deceased by:

Non-family members to be treated as family:

Names of songs to be rendered:

People to Notify - (name and phone number):

Pallbearers

Honorary Pallbearers

Flower bearers

Special Instructions/Comments:

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Thank you! Your information has been submitted successfully.

NOTE: Any photos to be used on funeral programs or DVD presentation that you would like to have maintained in our files can be scanned and emailed to [email protected] , snail mailed or delivered to our offices.

Victory Funeral Services, 1004 Martin Luther King Drive, Kilgore, TX 75662 - 903-988-1122 phone 903-234-0511 fax -- [email protected]

Home
About Us
VFS Staff
At The Time of Need
Funeral Pre-Planning Form Pg 1
Funeral Pre-Planning Form Pg 2
Funeral FAQ
Veteran's Benefits
Veteran's DD-214
Caskets
Obituaries
Signature Services Available
The Victory Stone and QR Code
LifeMarker QR Codes
Photo and Video Gallery
Contact Us

Home
About Us
VFS Staff
At The Time of Need
Funeral Pre-Planning Form Pg 1
Funeral Pre-Planning Form Pg 2
Funeral FAQ
Veteran's Benefits
Veteran's DD-214
Caskets
Obituaries
Signature Services Available
The Victory Stone and QR Code
LifeMarker QR Codes
Photo and Video Gallery
Contact Us

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