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West Reading, PA 19611
Phone: (610) 374-5440
Fax: (610) 375-0556

Obituaries

Clarence Roesch
B: 1925-08-22
D: 2017-03-28
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Roesch, Clarence
Jacqueline Reifsnyder
B: 1946-10-25
D: 2017-03-27
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Reifsnyder, Jacqueline
Russell Allen
B: 1924-12-25
D: 2017-03-27
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Allen, Russell
Alma Adams
B: 1923-09-18
D: 2017-03-24
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Adams, Alma
Charles Beck
B: 1941-04-16
D: 2017-03-24
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Beck, Charles
Ethel Unger
B: 1928-11-03
D: 2017-03-23
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Unger, Ethel
Jeanne Cremer
B: 1931-04-26
D: 2017-03-22
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Cremer, Jeanne
Betty Noll
B: 1925-08-29
D: 2017-03-19
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Noll, Betty
Grace Geiger
B: 1934-10-15
D: 2017-03-19
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Geiger, Grace
John Hertzog
B: 1925-02-07
D: 2017-03-19
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Hertzog, John
Constance Levering
B: 1938-02-14
D: 2017-03-19
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Levering, Constance
Frank Kopteros
B: 1916-08-18
D: 2017-03-11
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Kopteros, Frank
Elizabeth Ward
B: 1930-08-06
D: 2017-03-10
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Ward, Elizabeth
Debra Woolf
B: 1955-05-07
D: 2017-03-09
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Woolf, Debra
Thomas Lenich
B: 1940-12-21
D: 2017-03-09
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Lenich, Thomas
William Boyer
B: 1931-12-05
D: 2017-03-07
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Boyer, William
Charles Spears
D: 2017-03-07
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Spears, Charles
George Smith
B: 1924-08-02
D: 2017-03-04
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Smith, George
Marietta Bicknell
D: 2017-03-03
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Bicknell, Marietta
Marguerite Cambria
B: 1960-08-07
D: 2017-03-03
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Cambria, Marguerite
Mary Perini
B: 1953-04-12
D: 2017-03-03
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Perini, Mary

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Online At-Need Funeral Planning

You can get a head start on the process by completing as much of this online form as possible. We recognize you may not know everything right at this moment, but what you do know will be invaluable to your Funeral Director. Submitting this form will surely expedite the funeral arrangement process.

Would it be better in your situation to plan ahead, calmly and sensibly, when you are in a normal mental and physical state, when you have full ability to reason, and when you are able to discuss arrangements with your family?

You may file vital statistics and preferred funeral information with us on-line by filling in the form below.


I. Biographical Information

Full Name:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number:
(xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:        
Please select Grade/Years of Education completed:        
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded You In Death
Your Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:
         

II. Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:
         

Miscellaneous Notes and Instructions:

             

Please select one of the options below:

Please send me information

Please contact me to schedule an appointment

Please place my information on file

         
       

 

 

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