Hansen-Spear Funeral Home - Quincy, Illinois

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You are here: Home / Pre Arrangement Online Form

Pre Arrangement Online Form

Please fill out the following form to begin your Pre-arrangement. Please click the submit button when you are finished. A member of our staff will contact you with additional questions or details upon your submission.

Your Information:

First Name:

Middle Name:

Last Name:

Street:

City:

State:

Birthdate:

Birthplace City:

Birthplace State:

Father's First Name:

Father's Middle Name:

Father's Last Name:

Mother's First Name:

Mother's Middle Name:

Mother's Maiden Name:

Marital Status:

Years of High School Attended:

Years of College Attended:

Spouse's First Name:

Spouse's Middle Name:

Spouse's Maiden Name:

Surives:

yes
no

Spouse's date of death if applicable:

Marriage Date:

City where marriage took place:

State where marriage took place:

Occupation (i.e. Salesman):

Business (i.e. Department Store):

Social Security Number:

Next of Kin/Informant Information:

First Name:

Middle Name:

Last Name:

Street Address:

City:

State:

Zipcode:

Survivors:

Please List Full names with spouse’s name and city and state each on a separate line:

Preceeded in Death

Please list Relationship and Name each on a separate line:

Obituary Information:

Schooling and veterans information: high school, college, branch of military and when,where,medals awarded

Work experience: When,what position, how long

Church membership, other memberships and organizations, hobbies, etc.

Funeral/Memorial Service Requests

Things to have on hand with this file: picture for obituary, copy of veterans discharge papers – DD214

Desired Funeral location (example: funeral home, church or other location

Visitation:

evening before
day of the service

Wake/rosary service:

yes
no

Type of Internment:

Burial
Entombment
Cremation
Body Donation

Cemetery Name:

Cemetery City and State:

Service Music:

Visitation Music:

Requested Mininster/Euologist/Readers:

Preferred Florist:

Floral preferences:

Preferred Hair Stylist (name, phone number and location of business):

Memorials:

Pallbearers (4-6 to carry casket, 8 at most):

Honorary Pallbearers (People you would ask, but they can't lift or are out of town):

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Latest Obituaries

Dorothy Lavery–Dorothy May Lavery, age 89 of 2023 Cherry Lane Estates North, formerly of 2625 Cherry, died Wednesday, May 22,...Read More
Robert DeVerger–Robert A. DeVerger Sr., age 85, of 831 S. 5th St., Quincy, died Friday, May 17, 2013, at 7:00 am in his home. ...Read More
Robert Bellis–Robert L. Bellis, age 92, of 2130 Harrison, formerly of 2625 Woodale Ct., died Thursday (May 16, 2013) at 11:0...Read More
Geraldine "Jerri" Clark–Geraldine "Jerri" Clark, age 73, of 1021 N. Church, Jacksonville, formerly of Quincy, died Monday, May 13, 201...Read More
Richard "D" Fesler–Richard "D" Fesler , age 75, of Quincy, died Monday, May 13, 2013, at 6:25 am in Blessing Hospital. Richard...Read More
Wilbur C. Shaffer–Wilbur C. Shaffer, age 87, of 6516 Hickory Grove North, Quincy, died Wednesday, May 8, 2013, at 6:45 p.m. in h...Read More
Wilma A. Bliven–Wilma A. Bliven, age 84, of 2405 Crystal Ave., died on Tuesday, May 7, 2013 at 7:10 p.m. in Blessing Hospital....Read More
Roger L. Hyer–Roger Lee Hyer, age 86, of 2210 Cherry Lane Estates W., Quincy, died Monday, May 6, 2013, at 5:20 pm in Blessi...Read More

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