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Preplan Online

Preplan Online

Please fill out the information below and click “Submit” when you are finished.


Personal Info

PERSON IN CHARGE:

 

THIS PLAN IS FOR:

 
 
 
Family Info
 
 
 
 
 
Education/Work
 
 
Military Service
 
 
Service Options

VISITATION OPTIONS:

 

FUNERAL OPTIONS:

 

LUNCHEON OPTIONS:

 
 
Service Requests

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

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

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

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

 
 
Final Disposition

 

 

DISPOSITION OPTIONS:

 

Would you like us to contact you with further information?

 

 


Thank you for taking the time to complete this form. A member of our staff will review your information and contact you to further discuss the details of your arrangements.

 

Henke-Clarson Funeral Home | (608) 741-1713
1010 North Wright Road • Janesville, Wisconsin • 53546
henkeclarson@live.com

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