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

Obituaries

Dorothy Middleton
B: 1918-04-24
D: 2017-02-26
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Middleton, Dorothy
Florence Wheeler
B: 1921-03-12
D: 2017-02-25
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Wheeler, Florence
Thomas Malack
B: 1965-04-15
D: 2017-02-25
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Malack, Thomas
Anna Bryson
B: 1929-07-09
D: 2017-02-24
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Bryson, Anna
Josephine Cutler
B: 1919-03-08
D: 2017-02-24
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Cutler, Josephine
Michael O'Connor
B: 1954-12-27
D: 2017-02-22
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O'Connor, Michael
Craig Pawling
B: 1947-03-31
D: 2017-02-20
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Pawling, Craig
Russell Kessler
B: 1928-12-12
D: 2017-02-20
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Kessler, Russell
William Clark
B: 1924-07-30
D: 2017-02-19
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Clark, William
Pasquale Di Vito
B: 1957-06-20
D: 2017-02-18
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Di Vito, Pasquale
Elizabeth Wagner
B: 1932-06-08
D: 2017-02-17
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Wagner, Elizabeth
Michael Grab
B: 1953-08-20
D: 2017-02-16
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Grab, Michael
Jane Kramer
B: 1936-06-09
D: 2017-02-16
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Kramer, Jane
Mary Forrest
B: 1929-03-22
D: 2017-02-16
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Forrest, Mary
Laura Faraone
B: 1917-10-12
D: 2017-02-15
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Faraone, Laura
George Kline
B: 1946-07-01
D: 2017-02-13
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Kline, George
Beverly Green
B: 1928-10-02
D: 2017-02-13
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Green, Beverly
John Koutroulelis
D: 2017-02-12
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Koutroulelis, John
Barbara Masano
B: 1933-01-30
D: 2017-02-12
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Masano, Barbara
Mary Webber
B: 1931-09-21
D: 2017-02-12
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Webber, Mary
James McKinney
B: 1952-09-21
D: 2017-02-11
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McKinney, James

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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:

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Please contact me to schedule an appointment

Please place my information on file

         
       

 

 

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