1. Funeral Wishes Recording Your Funeral Plan Wishes Plan Beneficiary Details Please provide the full details of the person who will be covered by this plan Title Mr Mrs Ms Miss First Name Second Name(s) Address Postcode Email Telephone Date of Birth Are you purchasing this plan on behalf of someone else? No Yes Your Details Please provide your full details as the applicant Title Mr Mrs Ms Miss First Name Second Name(s) Address Postcode Telephone Email Funeral Ceremony Wishes Your preferences for the funeral ceremony including location and type of service Faith or Denomination (if applicable) Preferred minister or officiant (if known) Type and Location of Service Choices of ceremony music, readings, poems or eulogies etc Choice of flowers, charitable donations or both Cremated Remains or Burial Instructions Your instructions for your cremated remains or burial Instructions for cremated remains (if applicable) Instructions for burial including grave location (if applicable) Further Information & Submit Please provide any further information that may be helpful to record. When you are ready please press submit to send your wishes through to the team Submit Funeral Wishes
