Online Preplanning Form | Scala and Roefaro Funeral Home, Inc.

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For immediate need of our services, we are available 24/7. Contact us at 1-315-733-6443

ABOUT US
OBITUARIES
SERVICES
PLANNING AHEAD
GRIEF SUPPORT
RESOURCES

Online Preplanning Form

Online Preplanning Form

Free Text

Personal Information

Who is this plan for?

First Name

Middle Name

Last Name

Free Text

About You

Email Address

Phone Number

Free Text

Family Information

Father's Name

Father's Address

Mother's Name

Mother's Address

Marital Status

Spouse's Name

Spouse's Maiden Name

Did this person serve in the military?

Yes

No

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Your Wishes

Visitation Options

Visitation at our funeral home

Visitation elsewhere

No Visitation

Funeral Service Option

Funeral service at our funeral home

Funeral service elsewhere

No Funeral Service

Reception Options

Reception at our funeral home

Reception elsewhere

No Reception

Would you prefer burial or cremation?

Burial

Cremation

Final Disposition

Ground Interment (burial)

Mausoleum Entombment (above ground burial)

Columbarium (for cremation urns)

Ashes returned to family

Would you prefer to include a graveside/committal service?

Yes

No

Thank you for contacting us.
We will get back to you as soon as possible.

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Contact Us

david@scalaroefaro.com

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