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ESTABLISHED 1880

FUNERAL WISHES

At Richard & Shannon Jenkins Funeral Directors, we think it’s important to discuss your funeral wishes and put something in place. Our team in Liverpool are happy to offer help and advice on how to put together a personal service. Simply add all your information in the form below, and a member of our team will be in touch to discuss all the details.

152

YEARS'
EXPERIENCE

Details of the person whose funeral wishes we are recording

Full name

Date of birth

Address

Postcode

Phone

Email*

Do you/they have a will?

Yes

No

Where to find your/their will:

Details of the chosen representative

Full name

Relationship

Address

Postcode

Phone

Email

Options for cremation

If cremation is the preferred funeral option, are family to attend?

Yes

No

The preferred crematorium is:

Instructions regarding cremated remains:

Collected by the funeral director to await family decision

Scattered at (type below) location

Interred at (type below) location

Collected by family from the crematorium

Other preferred option (type below)

Further information

Options for burial

If burial is the preferred funeral option, are family to attend?

Yes

No

The preferred place of burial is:

This will be a:

New grave

Double depth grave

Single depth grave

Existing plot:

Yes

No

Grave number

If the grave already has an occupant, please provide their name and date of death

Funeral service arrangements

Funeral service to take place at

Service type:

A religious service

A civil service

A non-religious service

The preferred officiant is:

From (Church or Organisation):

Music choices:

Reading choices:

Funeral vehicles

Choice of Hearse:

Motor hearse

Horse drawn hearse

Other (type below):

Further information

Presentation

Preferred coffin choice

Dressing instructions

Own Clothes

Gown provided by Funeral Director

Family members often take great comfort from visiting their relative in our Chapel of Rest. Please discuss this option with my family at the time?

Yes

No

Other options

Floral arrangements

No flowers please

Family flowers only

Flowers welcome from all

Are orders of service to be prepared

Yes

No with (type below) copies provided

Charitable donations to:

Other Information

Further information

Information about our services and our current price lists can be found on our website.

Any information you have provided above should be discussed with your Executor if you have appointed one, or your family. The details in this document may be changed at the time the funeral is arranged and are not legally binding on your representatives.

If you would like us to store a copy of this form safely and securely for you, please email or forward a printed copy to any one of our branches. An acknowledgement will be sent but we will not use your information for any other purpose.

Signature

Signed

Date

Name

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TALK TO RICHARD & SHANNON JENKINS FUNERAL DIRECTORS ABOUT YOUR FUNERAL WISHES

Call, email or visit our team in Liverpool today and we can help you plan and put together a service that's right for you.

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admin@rsjfunerals.co.uk

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3 Allerton Rd, Mossley Hill, Liverpool L18 1LG

RICHARD AND SHANNON JENKINS FUNERAL DIRECTORS LTD, registered as a limited company in England and Wales under company number: 12124125. Registered Company Address: 3, ALLERTON RD LIVERPOOL L18 1LG

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