Fax Phone No. 989-893-6321 

To:  Final Arrangements Network 
                    

From:   ___________
                               [Owner of this Private File.]

RE:  New Client   PrivateFiles Systems 

FAX
Cover

[You can also Email or US Mail to send information to us.]

MESSAGE:
Please open a private file account in the name above. Enclosed you will find a check/money order in the amount of  $35.00 to cover 5 (five) years.

The following is the information I currently want in the file. I understand in the event of my death this information can and will be sent to whoever I give authority to receive it. I further understand, I will receive a protected pass code number from FINAL ARRANGEMENTS NETWORK when I receive my Emergency Card. I understand I must share this number with my appointed representative in order to provide verification when they ask to have the information sent to where ever they are in the world at the time.

My representative upon presentation of verification to FAN can choose either FAX or Email as the mode of information transfer to him/her.

Signed  _________________________      Dated____/____/____

My Secret Password is:  ___________* (Use 4 to12 letters/numbers only)
Mother's Maiden Name: _________________ (Used in case you lose password)

* This is used to identify your file in our secure offline system. It will be put on your Emergency Card and you will need it to retrieve your plans for changes in the future.

Email as Attachment to:  Final Arrangements Mail @
mail to: Final Arrangements Network
             1835 Loretta Circle Dr., #168
Essexville, MI 48732

FAX Cover Sheet [Page 1of 4]

 

 

 

 

 

 

FAX Page 2 of 4

MY FUNERAL INSTRUCTIONS

Funeral Home [Name/Location] 
Service              YES  NO Location
Church Service YES  NO Location
Officiating Clergy [Name] 

Veteran Service YES  NO                                               Obituary Request   YES  NO
THE TYPE OF FINAL ARRANGEMENTS I WANT ARE

Funeral     YES  NO 

 Cremation with Funeral Services       YES  NO

Visitation  YES  NO

 Cremation No Funeral Services         YES  NO
Procession to Cemetery with Hearse YES  NO
Casket I've Chosen or what type to get
Vault I've Chosen or what type to get
Urn I've Chosen or what type to get

 

 

 

 

 

 

FAX Page 3 of 4

Music I would like:  1.________________ 2.______________ 3.__________________  4._______________ 5.________________ 6.______________ 7.__________________
My Clothing Choice
Jewelry
My glasses? On       Off
Floral Design  I would like:
My Pall Bearer Choices 1) 4)
2) 5)
3) 6)
My Other
Thoughts/Suggestions:

 

MY FINAL RESTING PLACE CHOICES

I have chosen burial or entombment. 
The Cemetery I have chosen or would prefer. Name & Location:
Ground Burial
Mausoleum
Lawn Crypt

 

I have chosen Cremation. These are my preferences and choices:
Ground Scatter
Water Scatter
Wind Scatter

 

 

 

FAX Page 4 of 4

OTHER TYPES OF ARRANGEMENTS FOR MY ASHES

My Cemetery Preference Location
Niche Location
Columbarium Location
Scatter Garden Location
Burial Location

 

These are My Choices or Preferences for Permanent Memorialization
Memorial or Marker [YES  NO]  Description;
Inscription I would like. Description;
Vase for Flowers       [YES  NO]

 

Additional Thoughts about
My Final Arrangements;

 

I have prepared this FAX from the work forms that include my important private information. That detailed information has the deeds, contracts, insurance policies, accounts, etc. that these arrangements are based upon. The location of this information is as follows:

Location & Instructions;

These are my final arrangements. I have provided this guidance in hopes you will realize how much I do care about you and wish to spare you as much of the anxiety, stress and confusion that I worry you will suffer because of my departure. I hope that these thoughts of mine and the arrangements I have made are helpful to all of you.

Signature

________________________  Date ___/___/___