Pre-Planning Pre-Paid Funerals

Why Planning ahead is so important.

A little forethought makes a great deal of sense when you consider the benefits of a pre-paid funeral. Both emotionally and financially you will relieve a great deal of burden from those closest to you.

By pre-paying your funeral you enter into a legally binding contract with Becker Family Funerals, which documents your exact wishes and fixes the funeral expenses at today’s prices.

Please click on the Foresters Friendly Society logo for complete information.

Planning Ahead - A Confidential Record

You are taking an important step in completing this form. Take time to think it over, enter your personal details and your wishes for your funeral service. Your family will be relieved at some time ahead as this information will greatly assist them.

After you have completed this form you can submit a copy to us and keep a copy with your important papers. It is a good idea to tell some family members where you keep them.

Thank you for your interest.
Yours Sincerly,
Chris & Debbie Becker

Step 1 of 3

Personal Family Information
This information is used to assist with necessary Government registration of death.
Full Name*
Residential Address
Phone No.
Usual Occupation
Date Of Birth

DD
MM
YYYY
Place Of Birth
If Born Overseas, When Did You Arrive In Australia?
Marriage Details
Place Of Marriage
Age When Married
Years
Full Name Spouse At Marriage
Details of Second Marriage
Place Of Marriage
Age When Married
Years
Full Name Spouse At Marriage
Details of Third Marriage
Place Of Marriage
Age When Married
Years
Full Name Spouse At Marriage
Details of Fourth Marriage
Place Of Marriage
Age When Married
Years
Full Name Spouse At Marriage

Your Children's Details
Names and Birth Dates of Your Children
(If Deceased Write D, If Stillborn Write SB Please)
Name
Date Of Birth

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MM
YYYY
Name
Date Of Birth

DD
MM
YYYY
Name
Date Of Birth

DD
MM
YYYY
Name
Date Of Birth

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YYYY
Name
Date Of Birth

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YYYY
Name
Date Of Birth

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MM
YYYY
Name
Date Of Birth

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MM
YYYY
Name
Date Of Birth

DD
MM
YYYY
Do You Have Any More Children?
- Yes
- No
Name
Date Of Birth

DD
MM
YYYY
Name
Date Of Birth

DD
MM
YYYY
Name
Date Of Birth

DD
MM
YYYY
Name
Date Of Birth

DD
MM
YYYY
Name
Date Of Birth

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Name
Date Of Birth

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Name
Date Of Birth

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Name
Date Of Birth

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Name
Date Of Birth

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YYYY
Name
Date Of Birth

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YYYY
Your Parent's Details
Father's Full Name
Mother's Christian & Maiden Names

Details to assist with Funeral Arrangements
Religion
I Wish For My Funeral To Be Held At
Hymns Or Music Top Be Played
Newspaper Notice
Radio Announcement
Flowers
I Request RSL / Lodge / Club To Be Involved
My Specific Requests
Burial
Cemetery
Pre-Paid Plot
- Yes
- No
Details Of Plot
Cremation
Location Of Cremation
Pre Paid Cremation Deed
- Yes
- No
I Request My Ashes To Be Placed
My Next Of Kin / Executor / Executrix Is

Name
Address
Phone No.
Relationship
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Why Planning ahead is so important.

Planning Ahead - A Confidential Record

Step 1 of 3

Personal Family Information

Marriage Details

Details of Second Marriage

Details of Third Marriage

Details of Fourth Marriage

Your Children's Details

Your Parent's Details

Details to assist with Funeral Arrangements

Burial

Cremation

Testimonials

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