Pre-arrangement form for Banister Funeral Home,Dahlonega,Ga.
706-864-4159/Cell 706-344-2288
My Name
Vital Information About the person you are planning for:
Female
Male
Marital Status :
Social Security #
Date of Birth :
Place of Birth :
Spouse's Full Name
Father's Full Name
Mother's Full Name
Mother's Maiden Name
Usual Occupation
(most of Life)
Kind of Business
and Company
Military Records:
Branch of Service
Serial Number:/Social
Security Number
Date Enlisted
Rank at Discharge
Date of Discharge
Name of Wars, Medals
Commendations,
Note :  A "DD214" is required as proof of Military Service.
Funeral Service Information
Place of Service
Place of Visitation
Place of Interment or
Disposition of
Cremated Remains
Type of Vault/Casket
or No Vault (Green Burial)
Need Info:  Click Here   
Religious Denomination
Clergy
Preferences:
Flowers (Charities)
Music(title & Artist)
Casket Bearers
Jewelry  
Glasses
Clothing
Other Preferences
Address
Phone:
E Mail
Last Name :
First Name :
Middle Name :
Sex :