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Florence: 859-525-1100 | Hebron: 859-689-9980

Call Us: 859-525-1100

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Pre-Arrange Now
Home
About
Obituaries
- Obituary Listing
- Learn About Online Memorials
Services
Funeral Planning
Grief & Guidance
- Grief
- Guidance
Send Flowers
Reviews

Pre-Arrange Online

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Schedule a complimentary preplanning consultation (check all that apply):

Schedule a complimentary preplanning consultation (check all that apply):

Traditional Funeral Options

Cremation Options

Pre-Funding Funeral Expenses to lock in price<(excludes cash advance options)

Payment Plan Options

Veteran’s Burial Options

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Pre-Arrangement Funeral Information:

*Your Full Name

*Best Contact Phone Number:

Email Address:

Street Address:

City:

State:

Zip Code:

Gender:

Date of Birth:

City and State of Birth:

Social Security Number:

Race:

Hispanic Origin:

If yes, specify:

Your Highest Level of Education:

8th grade or less

9th-12th grade; No Diploma

High School Graduate or GED

Some College but no Degree

Associates Degree

Bachelor’s Degree

Master’s Degree

Doctorate

Your Father’s Name:

Your Mother’s Name:

Your Mother’s Maiden Name:

Your occupation prior to retirement:

Type of Business or the Industry you worked in:

Your Spouse’s Name:

Your Spouse’s Maiden Name:

U.S. Armed Services Veteran:

Branch of Service:

U.S. Military Number:

Enlistment Date:

Discharge Date:

Rank at Discharge:

Do you have a copy of your DD-214 (Discharge papers)?

Do you currently own cemetery property?

If yes, name of cemetery

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Please call 859-525-1100 or email info@stithfuneralhome.com with any questions.

Thank you for filling out a pre arranagement form.

We will be in touch with you as soon as possible.

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859-525-1100

Stith Funeral Home

7500 U.S. Highway 42

Florence, KY 41042

Fax: 859-525-1101

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