Edward Sagel Funeral Direction - Why choose Edward Sagel Funeral Direction, Inc.?

More and more people are realizing the advantages of pre-arranging their funerals. The process is simple and the benefit to loved ones left to handle the arrangements is well recognized. The benefits are numerous: pre-planning allows you to express your own wishes; there is a guaranteed funeral price; there's no income tax liability; your funeral plan is transferable in case you move away; it relieves your family of the financial burden. By relieving your family of burdensome decisions at a difficult time, you are showing your love and respect for their needs, too.

The online pre-planning form below was designed to allow Edward Sagel Funeral Direction, Inc. to gather basic information about you and your desired funeral service.

Please select one of the options below:

Send information about pre-arrangement and to receive a free personal planning guide

Contact me to set an appointment

PERSONAL INFORMATION ON CLIENT

Last Name:
First Name:
Middle Name:
E-mail:
Address:
City:
County:
State:
Zip Code:
Phone:
Fax:

VITAL STATISTICS

Marital Status:
Social Security#:
Date of Birth:
Place Of Birth:
Spouse's Name:
Spouse's Maiden Name:
Father's Name:
Mother's Name:
Mother's Maiden Name:
Education (0-12):
College 1-5+:
Occupation
Veteran Yes No
Name Of Wars:

Dates Served:
Branch of Service:

FUNERAL SERVICE INFO

Place Of Service:
Cemetery:
Plot Information:
Address:
Phone:
Synagogue (if member):
Who is your Family Rabbi:
If you should need us to secure a rabbi on your behalf, the rabbi should be:
Lodge / Organization:
Person in Charge of Final Arrangements:
Full Name:
Address:
City:
State:
Zip Code:
Phone:

OTHER INSTRUCTIONS

Please list any other instructions you may have:

Clothing Preference:	Own Clothing Shroud

Preparation:	Ritual Washing (aka tahara, orthodox tradition) Funeral Director to Prepare

Do you want a Shomeir (aka watchman, orthodox tradition)	Yes No