Pre-Arrangement

Name*
First Last
Middle Name
Email*
Phone
Address
Street Address City State ZIP Code
Date of Birth & Place of Birth*
Age*
Years at Current Residence*
Moved From
Education (years)
Education History
Occupation
Company Name
Type of Industry
Years Employed
Retirement Date
Soc Sec#
If Deceased (date)
Spouse
Wife's Maiden Name
Ancestry (nationality)
Father's Name
Mother's Maiden Name
If You are a Veteran, please complete
Branch of Service & Serial#
Rank & Date of Entry
Place of Entry
Date & Place of Discharge
Memberships
Please list memberships. Examples: Church, Fraternal, Civic, Etc.
Survivors
Please list names, relationship and residence.
Service Information
Where would you prefer that your service be held?
Where would you prefer that your service be held?
Musical Preferences
Pallbearers
Memorial Contributions
Responsible Party Information
Address*
Street Address City State ZIP Code
Phone*
Additional Comments
Validation

Testimonials

Our everlasting gratitude...

Dear Stephen:

On behalf of my mother and family I would like to thank you and your staff for conducting a beautiful service for my father in June.
All that was important to us, you professionally honored; all that we were unable to think of, you did. To have a loved one treated so respectfully at death means everything to the family. Our everlasting gratitude to you for your caring of my father and all of us. – BB

I appreciate the kindness and thoughtfulness...

Dear Stephen:

I appreciate the kindness and thoughtfulness you extended to my family. It was a great honor to participate as I did and of course to wake my mother at home was the ultimate. I will always be grateful for that kindness. – PC

Thank you so much for all you did...

Dear Stephen:

Thank you so much for all you did to make a sad time glorious in the Lord. Frances was a great friend and she must have enjoyed looking down on us and telling us that the “best is yet to come!” – EG

Hans Funeral Home

Pre-Arrangement

If You are a Veteran, please complete

Memberships

Survivors

Service Information

Responsible Party Information

Obituary Notification Service

Certified Celebrant Services

Albany, NY

If You are a Veteran, please complete

Memberships

Survivors

Service Information

Responsible Party Information

Obituary Notification Service

Certified Celebrant Services

Albany, NY

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