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TEST cr planning form

Cremation Planning Form - Copy 1

  • There may be additional costs associated with the transportation of your loved one into our care. The cost, if applicable, is calculated based on the distance between the "Location of the deceased" and our facility. If the location of the deceased lies outside of the service area, the cost will be calculated in your cart. Please contact us with any additional questions.

  • Location of your loved one for transportation into our care.
  • Please call us first and notify us that a death has occurred (414) 416-2041.

    We extend our deepest sympathies to you for your loss. Please call us first and notify us that a death has occurred. Completing this form does not notify us immediately. After you notify us, please proceed with your online arrangements.

  • Do you wish to preplan for the future?

    We would be honored to help you preplan services, please proceed with your online arrangements. After completing this form and finalizing your payment, please call us if you have further questions at (414) 416-2041.


    The prices shown are the now current retail prices and are illustrated for the sole purpose of establishing the amount of insurance required to fund this agreement. At the time the goods and services are provided, the then current retail prices will be charged. The Party responsible for the funeral must pay any difference between the available death benefit and the then current prices, if any.

  • Information About the Person Completing This Form

  • If not "Myself", your relation to the deceased.
  • Deceased Vital Statistics for Death Certificate

  • Veteran Information

  • This field is for validation purposes and should be left unchanged.
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(414) 416-2041
9000 West Capitol Drive
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