Serving Because We Care
Funeral Home
and
Monument Sales
I Want to Register with Linn's Funeral Home
Name:
Address:
City:
State:
Zip:
Phone:
Email:
Birthday:
mm/dd/yyyy
Place of Birth
Father (Full Name):
Mother (Full including maiden name):
Spouse (Full including maiden name):
Marriage Date:
mm/dd/yyyy
Place of Marriage:
Previous Marriage Information:
Past Residences:
Grade School Information:
College and Degree or Highest grade level achieved:
Current or Last Occupation and Employer:
Previous Occupation:
Church affiliation:
Military Service:
Lodges, Clubs and Offices held:
Funeral to be held at:
Burial to be at:
Burial City/State:
Additional/Noteworty information:
CURRENT SURVIVORS
Father:
Father City/State:
Mother:
Mother City/State :
List Children and their spouses including Address:
Number of grandchildren:
Number of great-grandchildren:
number of great-great-grandchildren:
List Brothers and Sisters and
their spouses and address:
List relatives who have
passed away and relationship:
YES Send this information to Linn's Funeral Home,
no other contact will be made
YES Send this information to Linn's Funeral Home
and have a funeral director contact me to answer
my questions to make preplanned funeral
arrangements and/or pre-payment
