Details of the person whose funeral wishes we are recording:

Do you / they have a will: YesNo

Where to find your / their will:

Details of the Chosen Representative

Options for Cremation

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

The preferred crematorium is:

Instructions regarding cremated remains:

Collected by the funeral director to await family decisionScattered at (type below) locationInterred at (type below) locationCollected by family from the crematoriumOther preferred option (type below)

Options for Burial

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

The preferred place of burial is:

This will be a:
New graveDouble depth graveSingle depth grave

Existing plot:
Yes

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 serviceA civil serviceA non-religious service

The preferred officiant is:

From (Church or Organisation):

Music choices:

Reading choices:

Funeral Vehicles

Choice of Hearse:
Motor hearseHorse drawn hearseOther (type below):

Following limousines / S-class Mercedes carsState number if known:

Funeral to leave from:
Home AddressC.E. Fuller & Co.Other (type below):

Presentation

In addition to traditional veneered and solid wood coffins, we can supply many natural options including seagrass, wicker, cardboard, English willow and photo/colourful coffins. Details may be viewed at: www.c-e-fuller.co.uk/services/

Preferred coffin choice:

Dressing instructions: Own ClothesGown provided by Funeral Director

Family members often take great comfort from visiting their relative in our Chapel of Rest. It can help them cope with their loss and deal with their grief. Our meticulous preparation will include washing, hygienically preparing, embalming and dressing, so that dignity and presentation is the best it can be.

Please discuss this option with my family at the time? YesNo

Other Options

Floral arrangements: No flowers pleaseFamily flowers onlyFlowers welcome from all

Are orders of service to be prepared: YesNo with (type below) copies provided

Charitable donations to:

Other Information

C.E. Fuller & Co. Information

Information about our services and our current price lists can be found on our website www.c-e-fuller.co.uk

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 to discuss how to transfer this statement of funeral wishes to a prepaid funeral plan, you are very welcome to contact us and we can make an appointment for you to meet with our colleagues at Open Prepaid Funeral Plans.

If you would like C.E. Fuller & Co. to store a copy of this form safely and securely for you, please email it to funeralwishes@c-e-fuller.co.uk 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