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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 (Self)

Pre-Arrange (Self)Essentials2021-03-11T11:06:55-05:00

"*" indicates required fields

Step 1 of 9

11%

Your Information

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

Marital Information

Spouses Name
Spouses Place of Birth
Place of Marriage
Spouses Address

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

Examples: 'Construction' or 'Bookkeeper' or 'Salesperson'
Please list any groups or organizations you are affiliated with.

Military Information

Funeral Service Information

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

Disposition Information

Address
Do you have a will and testament with a named Executor?
Name of Executor
Executor Address

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 your preferred Pallbearers.

Special Instructions

There are many benefits to pre-paying for you funeral including: - Ease the burden on your family. - You want your final wishes honored. - Cost savings as you are paying for services now that will be more expensive in the future.
Once you submit your 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 your funeral service that you'd like us to honor.
Your 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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