B Hollowell & Son Funeral Planning Service

If you have any questions, or would like to discuss any aspect of the plan, please do not hesitate to call, or alternatively you can complete our form in your own time and let your funeral wishes be known to your family.

Please complete all the fields you can and then click the print button at the end. You can print and keep a copy for yourself & your next-of-kin. Please take as much time as you need to complete this form. If you would like to meet with us to discuss your wishes we would be happy to contact you.

Name

Address

Telephone Number

Email Address

Occupation

Marital Status

Date of birth

Place of birth

Next of kin

Next of kin address (Please tick if same as main address )

Next of kin telephone

Your relationship to next of kin

Location of will and further information

Funeral home

B Hollowell & Son 148 Beech Avenue, Abington. Northampton NN3 2JN

Cremation or burial

Name of Church or Chapel

Name of Crematorium Chapel

Wishes for cremated remains

Name of Church or Cemetery Chapel

Burial: please state the churchyard

Burial: please state the cemetery

New Grave

Grave number

Music & Hymns

Flowers

Donations in lieu of flowers

Name of charity / charities

Send information about pre-paid funeral plans

Contact me to set an appointment

Keep the above information on file

Additonal Information on

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* You can print a copy of this form for your own records if you wish. Please do this first before clicking the submit button to send the form to us. All data submitted is kept private and confidential.