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  • Home
  • About Us
    • About Essentials
    • Frequently Asked Questions
    • Our Space
    • Our Family
    • Our Blog
  • Services
    • Cremation
    • Burials
      • Traditional Burials
      • Green (Natural) Burials
    • Funerals & Celebrations of Life
    • Our Pricing
      • Cremations
      • Burials
    • About Pre-Arranged Funerals
    • Pre-Arrange Online
  • Obituaries
  • Bereavement Support
  • Contact Us
  • Home
  • About Us
    • About Essentials
    • Frequently Asked Questions
    • Our Space
    • Our Family
    • Our Blog
  • Services
    • Cremation
    • Burials
      • Traditional Burials
      • Green (Natural) Burials
    • Funerals & Celebrations of Life
    • Our Pricing
      • Cremations
      • Burials
    • About Pre-Arranged Funerals
    • Pre-Arrange Online
  • Obituaries
  • Bereavement Support
  • Contact Us

Pre-Arrange (On Behalf)

Pre-Arrange (On Behalf)Essentials2021-03-11T10:53:00-05:00

"*" indicates required fields

Step 1 of 10

10%

Your Contact Information

Your Name
Please provide us with your own name and contact information. Information about the person you are arranging for will be collected on the next pages.
Your Address
Your Email*
Please provide your relationship to the person you are making arrangements for. Example: Daughter, Spouse, Friend ...etc.

Arrangement Information

Before you continue:

Please note, all remaining questions pertain to the person you are making arrangements for.


If referred to or known by another name, please specify. Example: Legal name is Robert Smith but referred as Bob Smith.
Address
Email
Place of Birth

Marital Information

Before you continue:

Please note, all questions pertain to the person you are making arrangements for.


Spouses Name
Spouses Place of Birth
Place of Marriage
Spouses Address

Before you continue:

Please note, all questions pertain to the person you are making arrangements for.


Father and Mother Information

Please complete Father and Mother information for parents alive and deceased.
Father's Name
Father's Place of Birth
Mother's Name
Mother's Place of Birth

Work & Affiliations Information

Before you continue:

Please note, all questions pertain to the person you are making arrangements for.


Examples: 'Construction' or 'Bookkeeper' or 'Salesperson'
Please list any groups or organizations or affiliations.

Military Information

Before you continue:

Please note, all questions pertain to the person you are making arrangements for.


Funeral Service Information

Before you continue:

Please note, all questions pertain to the person you are making arrangements for.


Where would you like the service to be held?
Name of the church, cemetery or other location.
Example: Catholic, Jewish, Atheist or None.

Before you continue:

Please note, all questions pertain to the person you are making arrangements for.


Disposition Information

Cemetary Information
Is there a last will and testament with a named Executor?
Name of Executor
Executor Address

Before you continue:

Please note, all questions pertain to the person you are making arrangements for.


Additional Information

Please list the charity or charities you'd like donations to be made to.
Example: Roses, Tulips or None
Example: Fly by Celine Dion or None
Example: Wedding Ring or None
Example: White Dress or Blue Suit
Please list the names of preferred Pallbearers.

Before you continue:

Please note, all questions pertain to the person you are making arrangements for.


Special Instructions

There are many benefits to pre-paying for a funeral including: - Ease the burden on the family. - Final wishes honored. - Cost savings as you are paying for services now that will be more expensive in the future.
Once you submit funeral details to us, an Essentials team member will contact you on the next business day to confirm your submission and answer any questions you may have. How do you prefer to be contacted? If you have selected email and do not hear from us on the next business day, please be sure to check your spam or junk email.
Please describe any other details about funeral service that you'd like us to honor.
Social Insurance Number (SIN) will be required and collected over the phone.

NIAGARA FALLS

Essentials Cremation & Burial Services Inc.
102A-4300 Drummond Road
Niagara Falls, ON
​L2E 6C3

Phone: (905) 354-2133

Email: Click Here

WELLAND

Essentials Cremation & Burial Services Inc.
221 Division Street
Welland, ON
L3B 4A1

Phone: (905) 734-1031

Email: Click Here

SERVICE AREA

  • Grimsby
  • St. Catharines
  • Thorold
  • Niagara Falls
  • Fort Erie
  • Welland
  • Port Colborne
  • Niagara-on-the- Lake
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