Funeral Arrangements

Funeral Arrangements

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This information is for guidance at such time of my death. Preferences on certain subjects have been expressed, and unless changed by unforeseen circumstances, are desired.

WHEN THE NEED ARISES, I DESIRE that BELL, LAMB AND TROTTER FUNERAL DIRECTORS LIMITED be contacted to conduct all necessary arrangements for my funeral. A copy of my own personal wishes expressed below is held at their office:

Cremation at: Select OneMainland CrematoriumCanterbury CrematoriumHarewood CrematoriumOther

If Other, please specify:

Burial at: Select OneAvonhead ParkBelfastMemorial ParkRuru LawnShands RoadSpringstonYaldhurstOther

If Other, please specify:

Burial Plot No. / Ashes to be interred at:

Notices in Newspapers: Select OneThe PressNew Zealand HeraldDominion PostOtago Daily TimesSouthland TimesOther

If Other, please specify:

Before/After Service: Select OneBeforeAfter

Age in Newspaper: YesNo

Mention of flowers:

Donations to:

Choice of Casket: Select OneHandcrafted Solid TimberRaised LidStandard RimuRosewoodMaple VeneerWalnut VeneerEco CoffinBatesville

Preference of Casket Flowers: Select OneCasket SprayNatural SprayOther

If Other, please specify:

Type/colour:

RSA/Lodge/Clubs/Other Affiliations:

Service Preferences

Music/Hymns/Songs: YesNo

Readings/Poems: YesNo

Catering: Select OneBell, Lamb & TrotterOther

If other, please specify:

Clothing:

Jewellery to remain:

Jewellery to return:

Funeral Account to:

Name:

Address:

Prepaid: YesNo

Amount:

Date:

Further details I would like observed:

Details for registrar of Births, Deaths & Marriages

Personal:

Profession/Occupation:

Date and place of birth:

If born overseas:
I have resided in New Zealand since

Service Record: Service No:

Rank:

Regiment:

Wartime Service:

I am a Justice of the Peace,
Registered Nurse or Title holder of:

Next of Kin:

Name:

Address:

Trustee/Executor:

Name:

Address:

Parents:

Father's Full Name:

Father's Occupation:

Mother's Full Maiden Name:

Mother's Occupation:

Mother's Marital Status: Select OneMarriedDivorcedSeparatedUnmarriedWidowed

Marriage:

Spouse's Full Name (Maiden):

Spouse's Date of Birth:

Date and Place of Marriage:

Previous Marriage Details:

Spouse's Full Name (Maiden):

Spouse's Date of Birth:

Date and Place of Marriage:

Children:

First Name and Date of Birth
of Living Children:

Other personal details:

My Will is held by:

Solicitor:

Society/Club Memberships:

Funeral Arrangements