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HOME
OBITUARIES
ABOUT US
SERVICES
PLAN AHEAD
- Plan Ahead
GRIEF SUPPORT
RESOURCES

Plan Ahead

Cleveland - Moffett Funeral Home

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

Online Preplanning Form

Free Text

Personal Information

Who is this plan for?

First Name

Middle Name

Last Name

Free Text

About You

Email Address

Phone Number

Free Text

Family, Work, & Education

Free Text

Family Information

Father's Name

Father's Address

Mother's Name

Mother's Address

Marital Status

Spouse's Name

Spouse's Maiden Name

Place of Marriage

Date of Marriage

Free Text

Additional Family Members

Siblings (alive)

Siblings (deceased)

Children (alive)

Children (deceased)

Grandchildren (alive)

Grandchildren (deceased)

Great-Grandchildren (alive)

Great-Grandchildren (deceased)

Free Text

Education History

School Name

Highest Level of Education

School Location

Free Text

Work History

Occupation

Company Name

Years At Company

Did this person serve in the military?

Yes

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No

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Your Wishes

Visitation Options

Visitation at funeral home radio

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Visitation elsewhere radio

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No Visitation radio

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Funeral Service Option

Funeral service at funeral home radio

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Funeral service elsewhere radio

radio

No funeral service radio

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Reception Options

Reception at funeral home radio

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Reception elsewhere radio

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No reception radio

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Would you prefer burial or cremation?

Burial

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Cremation

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Final Disposition

Ground Interment (burial) radio

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Mausoleum Entombment (above ground burial) radio

radio

Columbarium (for cremation urns) radio

radio

Ashes returned to family radio

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Would you prefer to include a graveside/committal service?

Yes

radio

No

radio

Free Text

Your Preferences

Please list any musical selections you would like to include in your services.

Please list any special themes you would like to include in your services.

Please list any poems, religious texts, or readings you would like to be read at your services.

Please list any specific foods or beverages you would like to make available to your family and guests at the services.

Please list any interests or hobbies you would like to include into your services.

Is there a special story, personal thank you, or message of hope you would like to be read during your services?

Thank you for contacting us.
We will get back to you as soon as possible.

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CONTACT US

P. 662-256-1050

Fax. 662-256-1051

cmf2014@att.net

1604 Hwy 25 South

P.O. Box 485

Amory, MS 38821

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ABOUT US

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RESOURCES

Frequent Questions
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When Death Occurs
Talk of A Lifetime
Preplanning Checklist

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