Martin Funeral Home

Peace of mind.

In our professional experience, this is clearly the most common and popular reason for arranging a funeral in advance. There are several advantages to pre-planning. There’s satisfaction in knowing that you’ve relieved your family of an emotional burden. By pre-planning your funeral, you make your intentions known. Planning ahead shows that you’ve deliberately, thoughtfully, and thoroughly considered the options; weighed your personal choices and preferences; and made a meaningful, informed decision. We know it’s not easy for most people to speak of death. We are caring, competent and helpful licensed funeral directors committed to the highest standards of professional integrity.

Call us to talk about your plans, or complete the form below.
Martin Funeral Home -- 724-287-4073
There is no obligation.

Personal Information
Name (First MI Last):
Marital Status:
Birth Date:		Birth Place:
Current Address:
City:		State:
Zip:		County:
Phone:
E-mail:
Spouse's Name:
Spouse's Maiden Name:
Marriage Date:		Marriage Place:
Father's Name:
Mother's Name:
Mother's Maiden Name:
Person in Charge:
Address:
Phone:
Work/Education History
Education (0-12):		College 1-5+:
Occupation:
Business:		Company:
Military Record
Branch of Service:
Serial Number:
Date Enlisted:		Date Discharged:
Rank At Discharge:
Discharge On File At:
Copy of Discharge Papers:		Yes No
Name Of Wars:
Funeral Service Request
Place Of Service:
Funeral Home:
Address:
Phone:
Place of Visitation:
Religious Denomination:
Place Of Worship:
Newspaper Information (Please list family members)
Children:
Brothers/Sisters:
Number of Grandchildren:
Other significant relatives:
Special Instructions
Lodges and Organizations:
Jewelry:
Glasses:
Lodge / Union:
Clothing Preference:		My own Other
Disposition Request
I Prefer:
Cemetery:
Address:
Phone:
Section:
Last will and testament exists:		Yes No
Location:

Other Instructions
Memorials/Donations To Charity
Please select all that apply: Send information about pre-arrangement Contact me to set an appointment Please keep my information on file