Grand Rapids, MI Zaagman Memorial Chapel

Information about whom this plan is for

First Name:

Middle Name:

Last Name:

Gender:

Male
Female

Your information

First Name:

Middle Name:

Last Name:

Phone:

Email:

Password:

Biographical information

Birth Date:

Birth Place:

Family information

Marital Status

Married
Single
Widowed

Name of Spouse:

Maiden Name of Spouse:

If deceased, date of death:

Father's Name:

Mother's Name:

Siblings (Living):

Siblings (Deceased):

Children (Living):

Children (Deceased):

Grandchildren (Living):

Grandchildren (Deceased):

Great Grandchildren (Living):

Great Grandchildren (Deceased):

Education & Work

Highest Level of Education:

Occupation (before retirement):

Type of Industry (ie: Automotive or Public Schools):

Years at Company:

Military Service

Yes
No

Branch of Service:

Years Served:

Visitation Options

Visitation at funeral home.
Visitation at:
I do not wish to have visitation hours.

Funeral Service Options

Funeral service at funeral home.
Funeral service at:
I do not wish to have a funeral service.

Reception Options

Reception at funeral home.
Reception at:
I do not wish to have a reception.

Would you prefer burial or cremation?

Burial
Cremation

Final Disposition

Ground Interment (burial)
Mausoleum Entombment (above ground burial)
Columbarium (for cremation urns)
Ashes returned to family

Would you prefer to include a gravside/committal service?

Yes
No

Service Requests

Please list any musical selections you would like to include in your services.

Please list any poems, religious texts, or readings you would like to be read at your services.

Is there a special story, personal thank you, or message of hope you would like to be read during your services?

Pre-Plan Online

Please fill out the information below and press "submit" to forward it to our funeral home.