Pre-Arrangements Form 

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Use this form to provide us with as much or as little detail as you wish.  At a minimum, provide us with your name and telephone number and tell us how you'd like us to work with you on the remaining information using the options at the base of the form.

Pre-Arrangement Details

Personal Information

Please use the area above to enter the names of siblings, children and grandchildren.

Work/Education History

Military Record

Funeral Service Request

Disposition Request

(if applicable)
(if applicable)
(if applicable)

Summary Details

Send Us a Message

Contact Us

Valley Location
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3700 20th Avenue P.O. Box 65
| Valley, AL 36854
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Tel: 1-334-768-2141
| Fax: 1-334-768-2107
Lanett Location
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610 South 8th Avenue
| Lanett, AL 36863
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Tel: 1-334-644-4812

You are welcome to call us any time of the day, any day of the week, for immediate assistance. Or, visit our funeral home in person at your convenience.

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