Prearranging your funeral is a simple and secure way to provide for your final arrangements. The advantages to pre-arranging are many, but most importantly, it ensures that your wishes will be carried out, down to the last detail. It is a valuable and protected investment and is one of the kindest gifts you can give your family. We encourage you to discuss your thoughts and decisions with your family and contact us if you have additional questions. Please provide the following details and submit.   *Your Planning Guide First Name* Last Name* Marital Status* Single Married Separated Divorced Widow Widower Social Security # Date of Birth Place of Birth Address City State Zip Phone Email Spouse's Name Spouse's Maiden Name Place of Marriage Father's Name Mother's Name Mother's Maiden Name Education Occupation Business Company Branch of Service Service Number Date Enlisted Rank at Discharge Date Discharged Discharge on file at Copy of Discharge Papers: Yes No Name of Wars Address Phone Insurance Information Place of Service Funeral Home Church Cemetery Funeral Home Potere-Modetz Funeral Homes - Rochester Simpson-Modetz Funeral Homes - Waterford Modetz Funeral Homes - Orion Address Place of Visitation Religious Denomination Lodge/Union Person in Charge of Final Arrangements Flower Preference Music Casket Bearers (6):   Jewelry   Glasses   Clothing   Other   I prefer Earth Burial Mausoleum Cremation Cemetery   Address Phone Section Other Instructions   Send me information about pre-arrangement Contact me to set up an appointment Please keep my information on file Please review details and click on Submit.