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Just fill out the request form below to receive complentary information about Funeral Planning.

Short Form (This section required):

First name:

Last name:

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Address:

Address (Line 2):

City:

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Email:

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Phone Number:

Fax Number:

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Select two:

 

Cremation
Grief Support

Advanced Planning
Funeral Costs?

Comments or Questions:

 

Please use this Extended Form to provide Advanced Funeral Planning, San Diego with more in depth information about you and your family. This will help Advanced Funeral Planning assist you with your future needs. (This section is optional)

1. How old are you?

 

2. Is there and honorable discharged veteran in your household?

Yes

No

3. Have you ever been responsible for making funeral arrangements?

Yes

No

4. If you have given any thought to the subject, which of the following would you choose for yourself?

Burial

Cremation

5. Are you concerned about emotional overspending by the time the person planning your funeral if decisions are left to be made at an emotional time?

Yes

No

6. Are you aware that pre-paid funeral plans exist, and can be paid either in a single payment or with affordable monthly payments?

Yes

No

7. Are you aware of the potential tax advantages of pre-paid funeral arrangements?

Yes

No

8. Do you know how Adanced Planning can help someone qualify for Medi-Cal either now or for the future?

Yes

No

9. Do you maintain accurate records to assist you or a loved one with funeral planning?

Yes

No

10. Do your loved ones and family members know what you desire for your own arrangements?

Yes

No

11. Would it give you Peace of Mind to know that you could do the planning in advance and that your family would not have to make arrangements?

Yes

No

12. What type of service would you prefer?

Traditional Burial
Direct Burial
Traditional Cremation

Direct Cremation
Other

13. What type of casket would you be interested in?

Carbon Steel
Stainless Steel

Hardwood
Bronze/Copper

14. What type of urn would you choose?

Softwood
Hardwood
Ceramic
Cast Acrylic

Cloisonne
Marble
Bronze

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