Greenwood Funeral Home
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Free Pre-Planning Guide
Please complete the form below to request a consultation with a funeral planning professional. There is no cost or obligation for this service, and you’ll receive our gift to you, A Fact of Life, a free pre-planning guide.

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Confidential Personal Information
Your Name:*
Your Address (Street):
Your Address (Line 2):
Zip/Postal Code:
Phone Number:
Email Address:*
Best Time to Contact You:
Your Date of Birth:*
Social Security/Insurance Number:
Age of Spouse (if alive) Citizen of What Country:
Occupation: Birthplace: (city & state or provence)
Education: Place of Business:
Father's Name: Father's Birthplace:
Mother's Maiden Name: Mother's Birthplace:
Benefit Information
Military Service: Branch:
Date of Enlistment: Date of Discharge:
Service Number:    
Funeral or Memorial Service Preferences
City and State of Final Resting Place:
Music, Readings, Etc.
Honorary Pallbearers:
Special Requests:
Clothing, Jewelry, Etc.:
Burial Vault:
Preferences for Final Disposition Family Burial Property
Number of Spaces:
Which Space:
Other: (scattering, Mausoleum, entombment, etc.)
Preferences for Memorialization:
Additional Information:
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216 South 2nd Street | Highway 59 South | Cherokee, Iowa 51012 | 712-225-4886
100 Eagle Avenue | Marcus, Iowa 51035 | 712-376-4886
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