& Tributes

(330) 385-1010
Immediate Need

Your Funeral



Pre-Arrange Online

You may file vital statistics and preferred funeral information with us on-line by filling in the form below.

Your Information
Your Name:                                   
Your Telephone Number:               (xxx-xxx-xxxx)
Your Email Address:            
I. Biographical Information
Full Name:
City Name:
Zip Code:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Are Deceased (Immediate Family)
Type of Business:
Company Name:
Church Membership:
Lodge or Club Memberships:

II. Military Record
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences
Type of Service:
Visitation Hours:
Person in Charge of Arrangements:
Officiating Clergy:
Flower Preference:
Music Selection:
Casket Preference:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:

Miscellaneous Notes and Instructions:














Immediate Need

If you have immediate need of our services, we're available for you 24 hours a day.

Obituaries & Tributes

It is not always possible to pay respects in person, so we hope that this small token will help.


A gift to your family, sparing them hard decisions at an emotional time.

Order Flowers

Offer a gift of comfort and beauty to a family suffering from loss.

Daily Grief Support by Email

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Proudly Serving the Communities of East Liverpool and the entire Tri-State Area

215 West Fifth Street | East Liverpool, OH 43920 | Fax: (330) 385-1163 | Email: