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About Us
Cremation Plans
Urns & Keepsakes
Planning Ahead
- Personalized Prepayment Plans
- On-Line Pre-planning Form
What You Need to Know
Forms

Online Pre-Planning Form

Make these important decisions in the privacy of your own home with our simple online pre-planning form.

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Your Contact Information
I am planning for*
Your Name*
First Middle Last
Address*
Street Address City State Zip Code
Phone Number
Email*
Gender
- Male
- Female

Personal Information (person the preplanning is for)
Name*
First Middle Last
Address*
Street Address City State ZIP Code
City of Birth*
Date of Birth*
Gender
- Male
- Female
Race
- Caucasian
- Black
- Chinese
- Japanese
- Hispanic
- American Indian
- Other
Other (Race)
Citizenship
Approximate Height*
Approximate Weight*
Marital Status
Spouse's Name (Maiden)
Father's Name
Mother's Name (Maiden)

Education
Elementary School - Enter number of years completed
High School - Enter number of years completed or GED
College - Enter number of years completed
Degree / Major
Work History
Occupation (prior to retirement)
Job Description
Military Service
Have you ever served in the Military?
- Yes
- No
Branch of Service
Date Enlisted
Date Discharged

Final Disposition We have no interest in trying to sell you services or merchandise you do not need or want, however, it is important for our staff to be aware of your plans in order to best meet your expectations. Please help us better meet your needs by answering the following:
Private or Public Viewing
Prior to cremation, is there to be any viewing by family or friends? If so, private or public?
Memorial Service
Is there going to be any kind of memorial service or celebration of life? If so, what type of service and where?
Receiving the Cremains
Who is to receive the cremains following the cremation? If more than one person, please list the names of the appropriate parties.
Interrment
Are the cremations to be interred in a cemetery lot or niche? If so, please indicate location.
Veterans
If you are a veteran, do you wish to have a military service at the cemetery?
Scattering Cremains
Are the cremations to be scattered? If so, where and by whom.
Number of Certified Death Certificates Requested
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Email
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Contact Us

Call us at 330.875.5770 or fill out the form below to send us an email.

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Email
Message
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Comments
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Administrative Office - Chapel Facilities

303 South Chapel Street
Louisville, OH 44641

P: 330-875-5770
F: 330.875.2931

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Arrangement Locations

Akron

Canal Place
520 South Main Street
Suite 2511-M
Akron, OH 44311
330.564.1213

Cleveland – West

Gemini Towers
1991 Crocker Park
Suite 600
Westlake, OH 44145
440.892.3342

Cleveland – East

Enterprise Place
3401 Enterprise Place
Suite 340
Beachwood, OH 44122
216.766.5712

Cleveland – South

One Independence Place
4807 Rockside Road
Suite 400
Independence, OH 44131
216.642.8240

Greater Canton Area

303 South Chapel Street
Louisville, OH 44641
330.875.5770

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