Pre-Planning Information

Preplanning a funeral offers peace of mind and financial security for families. Surviving family members find comfort in knowing that the funeral reflects what their loved one wanted. Preplanning also gives the family options in funeral cost that allow for services to be rendered within a budget. Preplanning assures guaranteed funeral prices at the Harris Funeral Home.

At the Harris Funeral Home we offer choices in Revocable and Irrevocable Preplan Programs.

If you are considering prearranging a funeral, please call us or complete the information below and email it to us. We can walk you through the prearrangement process.

Full Legal Name :

Mailing Address:

Physical Address (if different):

Sex:                                Race:                                 Citizen of:



Married/Single/ Widowed/ Divorced:

Name of Spouse (If wife, include maiden name):

Next of Kin/Relationship:


S.S. # (optional):

Occupation (before retirement):

Employed By:

Location of Employment:

Mother’s Name (include maiden name):

Father’s Name:

Veteran/Branch/Dates of Service:


Preference on Burial or Cremation:

Preference on Visitation and/or Funeral Services:

Memorial Donations to an Organization:

Organizations/ Hobbies:

Please enter the letters you see in the image.*: