OMEGA Cremation & Burial Services
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Why prearrange your funeral?

Prearranging and pre-financing your funeral is a simple and secure way to provide for your final arrangements. It is a valuable and protected investment and is one of the kindest gifts you can give your family. By investing in a prearranged and pre-financed funeral, you assure the services you desire.

What are the benefits of planning ahead for your funeral?


Economy
• Because you are setting money aside, it will be there when you need it.
• The earnings on your money are reinvested in the trust so you can hedge against inflation. All monies are invested through AFCTS, an Oregon based company.
• All pre-arranged plans at Omega Funeral & Cremation Service are guaranteed to never cost more than the monies invested plus interest to cover inflation.
Personal Choice
• You choose the extent, kind and cost of service you want, right down to the smallest detail.
• You're assured that your funeral and disposition will be consistent with your individual standards and lifestyle.
• You and your family can share in planning together.
Peace of Mind
• By making these decisions in advance, you can bring peace of mind to yourself and your loved ones.
• You'll know that the arrangements you want are complete and that the costs won't burden your family.
• Your funeral director is available for expert preneed counseling.

PERSONAL INFORMATION
Personal Information
Name
(First MI Last):
Marital Status:   Social Security#:
Date of Birth: Place Of Birth:
Address:
City: State:
County: Zip:
Phone: E-mail:
Spouse's Name: Spouse's Maiden Name:
Place of
Marriage:
Date of Marriage:
Father's Name: Mother's Name:
Mother's Maiden Name:

WORK/EDUCATION HISTORY
Work/Education History
Education(0-12): College 1-5+:
Occupation:
Business: Company:

MILITARY RECORD
Military Record
Branch of Service: Serial Number:
Date Enlisted: Rank At Discharge:
Date Discharged: Discharge On File At:
Copy of Discharge Papers:     Yes     No
Name Of Wars:
Person in Charge:
Address:
Phone:
Insurance Information:

FUNERAL SERVICE REQUEST
Funeral Service Request
Place Of Service:
Funeral Home:
Address: Phone:
Place of Visitation:
Religious Denomination:
Place Of Worship:
Lodge / Union:
Person in Charge of Final Arrangements:

SPECIAL INSTRUCTIONS
Special Instructions
Flower Preference:
Music
Casket Bearers (6):
Jewelry:
Glasses:
Clothing:
Other:

DISPOSITION REQUEST
Disposition Request
I Prefer:
Cemetery:
Address: Phone:
Section:
I have made a last will and testament:     Yes     No
Location:

OTHER INSTRUCTIONS
OTHER INSTRUCTIONS

MEMORIALS/DONATIONS TO CHARITY
Memorials/Donations To Charity

PREFERRED METHOD OF CONTACT
Please select one of the options below
Send information about pre-payment

Contact me to set an appointment

Please keep my information on file


"Thank you for taking such good care of our family during our time of loss and transition. Your personal touch and time, and great effort to ease everything for us, is really remarkable. We greatly appreciate - your compassion and hard work. You are one of a kind."



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