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On-line Pre-arrangement Form

There are numerous benefits to pre-arrangement a funeral, some of which include:

  • Provides peace of mind
  • Relieves your loved ones of unnecessary concern
  • Reflects your expressed wishes
  • Alleviates financial burden on your family

Please take a few minutes to fill out the Online Pre-arrangement form below. Once the information is submitted, a Cremation Society of Colorado representative will review and file it and will be in touch with you to further discuss the details of your arrangements.

If you'd prefer, a printer-friendly version of this form is also available for you to download and fill out manually. CLICK HERE for further instructions and the download link, if interested.



NOTE: Fields marked with an asterisk ( * ) are required. Any information you submit will be held in the strictest confidence - we do not release any information to outside parties under any circumstances.

 Information About the Person Completing this Form:

* First Name:
* Last Name:
Middle Name:
* E-mail:
Street Address:
City:
County:
State:
Zip Code:
Phone:
Person for Whom I Am Pre-arrangement:

 Vital Information About the Person for Whom Pre-arrangement Is Being Done:

Last Name:
First Name:
Middle Name:
Sex:
Marital Status:
Social Security #:
Date of Birth: (ex. 1999)
Place of Birth:
Spouse's Full Name:
Spouse's Maiden Name:
Place of Marriage:
Date of Marriage: (ex. 1999)
Father's Full Name:
Mother's Name:
Mother's Maiden Name:

 Work and Education:

Education:
Usual Occupation (most of life):
Kind of Business:
Company:

 Military Records:

Branch of Service:
Serial Number:
Date Enlisted:
Rank At Discharge:
Date Discharged:
Discharge On File At:
Copy of Discharge Papers: Yes     No
Name(s) of War(s)/Conflict(s) Toured:


 Funeral Service Information:

Place of Service:
Name of Funeral Home:
Address:
Phone:
Place of Visitation:
I Prefer the Funeral Service To Be:
Viewing for Family: Yes    No
Viewing for Friends: Yes    No
Religious Denomination:
Place of Worship:
Lodge / Union:

  Person(s) To Finalize Arrangements At Time of Death:

Check here and skip this section if the person filling out
this online form is also the person making the final arrangements.
 
Full Name:
Street Address:
City:
County:
State:
Zip Code:
Phone:

  Disposition Options:

I Prefer:
Cemetery:
Address:
Phone:
Section:
I Have Made A Last Will And Testament: Yes    No

  Other Information & Instructions:

Please list any other instruction or information you would like us to have:


 Memorials & Charities:

Please list any memorials or donations to charity that you would like to declare:


 Options:

Please select one of the options below:
Send Information About Pre-arrangement
Contact Me To Set An Appointment
Please Keep My Information On File




 Pre-arrangement Form - Printer-friendly Version:

You can download the printer-friendly version of the Pre-arrangement form to your local computer from the link below. Once downloaded, open the PDF *, and enter your information on the form, then print it out on your printer. You may then either mail or fax it to us at the address or fax number below, or bring it with you when you visit.

»   CLICK HERE to download the form - choose to, 'Save to Disk,' in the dialog box that appears (download times will vary depending upon connection.)

Get Adobe Acrobat Reader* NOTE: Adobe Acrobat Reader software is required to view this file - if you don't already have the Reader installed on your computer, it is available for free from Adobe's website - please click the icon at right to be taken to the download page.

Mail completed forms to the following address:

Cremation Society of Colorado
3201 South Parker Road
Aurora, CO 80014

Please call with any questions: (303) 797-6888


Arrangement Center
3020 Federal Boulevard
Denver, Colorado 80211
Phone: 303.797.6888                  
Fax: 303.468.2006
South Memorial Chapel
1091 South Colorado Boulevard
Denver, Colorado 80246
Phone: 303.797.6888
Fax: 303.468.2006

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© Copyright  2010-2012 Cremation Society of Colorado and FuneralNet®

Two Metro Locations 303.797.6888

Testimonials

  • "Mr. Gleed was very caring and attentive to our needs regarding the passing of our daughter. He delivered what was promised. He has called to check on our well-being since we received her ashes. Ashes will be scattered at sea in San Diego, California"
    - Philip Perrin, Encinitas, CA
  • "The reason I selected Cremation Society of Colorado was of my initial telephone conversation with Andy Gleed. He was compassionate, knowledgeable and was not rushed during our conversation".
    - Deborah Young-Bettelli, Centennial, CO
  • "It was a difficult time. Andy took care of it all. We are very grateful."
    - Rick O'Neal, Jacksonville, FL
  • "Mr. Gleed did a Wonderful job. I don't feel he could improve on his services"
    - Vernette Ohlinger, Shelton, WA
  • "Thanks to Andy for being so understanding, answering all questions and always answering or returning calls. He was great. Also your staff is very nice."
    - Jean Morrissey, Broomfield, CO
  • Ashley,
    Keep doing what you are doing. It was awesome to be able to do 95% of the arrangements on line. The assistance of Ashley was truly valued. I did everything on line, which was a huge benefit for me. I sent one email and all was done by phone after that.
    - Carol Wolf, Fredrick CO
  • Ashley is an excellent representative of the CSC. The South Colorado Blvd. chapel was exactly what we needed. Thanks to all of you.
    - Pat Pease, Denver CO
  • The service we received was excellent. Ashley helped with some difficult decisions and made everything easier for us. She is a caring, compassionate individual, and a big asset to your company. The other staff were all very helpful as well. We had a good experience. Thank you.
    - Karen Wilkerson, Centennial, CO
  • Everyone I spoke with was very helpful. I really appreciated no hidden charges. Your staff did what we asked for - no more - no less - perfect! All arrangements were made years ago by my parents so when my dad's death occurred everything went off seamlessly. Thank you.
    - Eloise Young, Parker CO
  • Ashley made this experience bearable. The best at what she does. Her compassion and empathy and caring were real and palpable. She personally handled every request. Every funeral director should be that good.
    -Jacquelyn Lee, Lakewood, CO