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Brannen Family Funeral Services

912-654-2060

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912-654-9009

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Brannen Family Funeral Services

912-654-2060

24 Hour Obit Line

912-654-9009

Online Preplanning Form

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Online Preplanning Form

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Personal Information

First Name

Middle Name

Last Name

Address

City

State/Province

ZIP/Postcode

Phone Number

Email Address

Date of Birth

Place of Birth

Social Security Number

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Family Information

Father's Name

Father's Place of Birth

Mother's Name

Mother's Place of Birth

Mother's Maiden Name

Marital Status

Spouse's Name

Spouse's Maiden Name

Place of Marriage

Date of Marriage

Additional Family Members

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Education History

Highest Level of Education

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School Name(s)

School Location(s)

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Work History

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Company Name

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Military Record

Did you serve in the military?

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Branch of Service

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Rank at Discharge

Date Discharged

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Funeral Service Request

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Person in charge of final arrangements

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Disposition Request

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Earth Burial

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Cemetery

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Section/Letter

Grave Number

Cemetery Address

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I have made a last will and testament

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Location of Will

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Summary Details

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Address:

206 N. Veterans Boulevard

Glennville, GA 30427

Fax:

912-654-1773

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© Brannen Family Funeral Services All Rights Reserved.

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