Phone: 937-293-4137     |     Fax: 937-299-4130













ONLINE PLANNER

Thank you for inquiring about pre-planning funeral arrangements with Routsong Funeral Home.

We have prepared this guide to help provide information about important decisions that should be considered. Although a Routsong Consultant can discuss each area in more detail, we hope this will answer your initial questions concerning pre-planning funeral arrangments.

At Routsong, we firmly believe pre-planning is one of the most thoughtful ways you can protect those you love from unnecessary worry, doubt and even financial hardship. Through pre-planning, you take the burden of decision out of the hands of your family. Pre-planning gives you and your family peace of mind in knowing that all of your personal choices have been arranged in advance and will be carried out by our professional staff.

Pre-planning also allows for pre-financing. This can save you and your family a considerable amount, by guaranteeing funeral expenses at today's prices. This relieves survivors of an expense they may have to assume and it protects your insurance and savings for the benefit of your family.

The Routsong family has served the Dayton community with respect, tradition and human dignity for over 80 years. We pledge to present all of the options available to you and to faithfully fulfill your wishes with conscientious service.

We hope this material will be a benefit to you. Please feel free to contact any of our pre-planning Consultants should you have any questions.You may e-mail us at the address below or call (937) 293-4137. We will be glad to assist you any way we can.

We thank you for letting us serve you now with your pre-planning questions and arrangements.

Last Name:
First Name:
Middle Name:
E-mail:
Address:
City:
County:
State:
Zip Code:
Phone:
Marital Status:
Social Security#:
Date of Birth:
Place Of Birth:
Spouse's Name:
Spouse's Maiden Name:
Place of Marriage:
Date of Marriage:
Father's Name:
Mother's Name:
Mother's Maiden Name:
Education (0-12):
College 1-5+:
Occupation:
Business:
Company:
Branch of Service:
Serial Number:
Date Enlisted:
Rank At Discharge:
Date Discharged:
Discharge On File At:
Copy of Discharge Papers:     Yes     No
Name Of  Wars:
Place Of Service:
Funeral Home:
Address:
Phone:
Place of Visitation:
Religious Denomination:
Place Of Worship:
Lodge / Union:
Person in Charge of Final Arrangements:
Flower Preference:
Music
Casket Bearers (6):
Jewelry:
Glasses:
Clothing:
Other:
I Prefer:
Cemetery:
Address:
Phone:
Section:
Location:
I have made a last will and testament:     Yes     No
Please list any other instructions you may have:

Please list any Memorials or Donations to Charity that you would like:

Please select one of the options below:
Send information about pre-arrangement
Contact me to set an appointment
Please keep my information on file



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