(315) 468-5521
office@tindallfh.com
1921 West Genesee Street | Syracuse, New York 13204
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Secure Online Arrangement Form
Arrangement Form
Pre Need or has someone passed?
*
:
Information For Whom Services Are Being Planned
First Name
*
:
Middle Name or Initial:
Last Name
*
:
Maiden Name:
Number, street, city, state, zip
Address
*
:
City
*
:
Country
*
:
State/Province
*
:
Zip/Postal code
*
:
Email Address:
Phone Number:
Date of Birth
*
:
City of Birth
*
:
State of Birth
*
:
Social Security #
*
:
Race
*
:
Hispanic Origin
*
:
No, not Spanish/Hispanic/Latino
Yes, Mexican, Mexican American, Chicano
Yes, Puerto Rican
Yes, Cuban
Yes, Other specify
Work & Education
Education
*
:
8th Grade or Less
9-12th No Diploma
HS Graduate or GED
Some College (No Degree)
Associate Degree
Bachelor's Degree
Master's Degree
Doctorate or Pro Degree
Occupation (Do Not Enter "Retired"):
Kind of Business:
Company Name, City, State:
Parents Information
Mother's Name (First, Last)
*
:
Mother's Maiden Name
*
:
Father's Name (First, Last)
*
:
Spouse/Partner Information
Marital Status
*
:
Never Married
Married
Widowed
Divorced
Separated
Unknown
Spouse's Name:
Spouse's Maiden Name:
Spouse's Address (if not the same):
Spouse Date of Birth:
Spouse Social Security #:
Military Information
US Military Veteran?
*
:
Yes
No
Branch Service:
Army
Air Force
Coast Guard
Marines
Navy
Other
Serial Number:
Date Enlisted:
Date Discharged:
Rank at Discharge:
Copy of Discharge (DD214):
Yes
No
Funeral, Calling Hours, Memorial Service Information
Viewing for Family:
Yes
No
Viewing for Public:
Yes
No
How many calling hours total?:
Place of Calling Hour(s) / Viewing:
Select One
Funeral Home
Church
I Prefer the Funeral Service To Be:
Select One
Public
Private
Location of Funeral / Memorial Service:
Select One
Funeral Home
Church
Graveside Only
Church Name & Address:
Religious Denomination:
Burial, Entombment, Cremation Information
I Prefer:
Burial or Entombment of Body
Cremation After Viewing
Cremation No Viewing
Cremation With Burial of Ashes
Anatomical Donation of Body
Cemetery Name:
Address:
Cemetery Phone:
Have You Purchased A Grave?:
Yes
No
Do You Have the Deed?:
Yes
No
Additional Information
Flower Preference:
Clothing:
Casket Pallbearers:
We Have Pallbearers
Funeral Home Supplies Pallbearers
Jewelry:
Music Selections:
Special Instructions
Other Information:
Donations & Charities:
Contact Person
Name (First, Last):
Address: Number, street, city, state, zip:
Phone:
Email:
Relationship To Beneficiary:
Send Information
Please select one of the options below:
Contact me to set an appointment
I will contact the funeral home to set an appointment
I already have an appointment
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Home
About Us
Facility
Our Funeral Staff
Map & Directions
Ask the Director
Contact Us
Pre Need
Pre-Arrange Online
Pre Need Options
Immediate Need
Online Arrangement Form
When Death Occurs
Burial Services
Cremation Services
Obituaries and Eulogies
Funeral Etiquette
Legal Info
Pricing
Funeral & Cremation Plans
Funeral Merchandise
Financing
Reviews
Resources
Links
Have The Talk Of a Lifetime
Frequently Asked Questions
Grief Guide
Our Blog