Heritage Memorial - Portland Oregon
   
 

There are numerous benefits to pre-planning a cremation, some of which include:

  • Provides peace of mind
  • Relieves your loved ones of unnecessary concern
  • Reflects your expressed wishes
  • Allieviates financial burden on your family

Please take a few minutes to fill out the Online Pre-planning form below. Once the information is submitted, a Heritage Memorial representative will review and file it and will be in touch with you to further discuss the details of your arrangements.

If you'd prefer, a printer-friendly version of this form is also available for you to download and fill out manually. CLICK HERE for further instructions and the download link, if interested.

IMPORTANT: Use the tab key, or mouse, to navigate. Do not use the enter key for navigation, or it will try to send the form before it is complete.

Any information you submit will be held in the strictest confidence - we do not release any information to outside parties under any circumstances.

Information about the person completing this form:
 
I am Planning For:
,
 
Vital Information about the person you are planning for:
 
,
Gender:    Marital Status:
 
Work and Education
 
Education (Primary):    College:
 
Military Records
 
Branch of Service:
Copy of discharge papers?:
 
Funeral Service Information
 
Place of Service:
I prefer the funeral service to be:
Viewing for Family?:    Viewing for Friends?:
 
Person(s) to Finalize Arrangements at Time of Death
 
 
Special Instructions
 
Casket Bearers






 
Disposition Options
 
I prefer:
I have made a last will and testament:
 
Other Information and Special Instructions
 
 
Memorials & Charities
 
 
Contact Options
 



Please click Send (Submit) button only once

 

You may also use the PDF file below if you prefer to mail the form.

Mail to:
Heritage Memorial - 6705 S.E. 14th Avenue - Portland, OR 97202 (address is also on the form)

 

NOTE: Adobe Acrobat Reader software is required to view this file. If you do not already have Adobe Reader installed on your computer, it is available for free from Adobe's website - please click here or on the icon at left to be taken to the download page in a separate window.


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