Pre-Planning

Pre- Arranging Online is a convenient alternative for someone who is out of town, or, does not wish to come into the funeral home. All your information will remain private.The information given to us will be transferred to a file folder, and kept with our other funeral home pre-arrangements. A letter will be sent to you to confirm we received the pre-arrangement.This online  pre-arrangement would not be pre-paid, unless you choose to contact us. We will gladly go over all your pre-payment options if you wish.  Please, use the headings below as a guideline.

The information in the folder will be used to send notice of the death at time of need to the federal and provincial governments, and to compose an at-need death notice. We will be in contact with you as soon as we receive your information to provide you with all the costing involved and your payment options.

Remember that there is no obligation to pre pay your services, however it will save your family the burden of taking care of this at that time, not to mention there can be cost savings in pre paying.

Please ask us how.

**This page can be printed**

Name:

Address:

Birthplace:

Birthdate:

Mother:

Father:

Wife / Husband:

Daughter(s):

Son(s):

Sister(s):

Brother(s):

Grandchildren:

Great grandchildren:

Nieces  /Nephews:

Other:

Place of current or past employment:

Profession:

Member of What Organizations:

Cremation or Burial?:

-

Place of Funeral (ex: Chapel or Church):

Visitation(ex: 2-4 and 7-9):

Casket ( open / closed):

Organist:(yes /no.......favourate hymns)

Memorial Donations:

Name Of Cemetery:

Clergy:

-

Newspaper(s) For Death Notice(s):

Reception: (yes /no)

Name Of Executor(s):

Address Of Executor(s)

Phone Number(s) of Executors:

Relationship of Executor(s):

Death Notice: (You can compose it if you wish and send it to us through the links below) It will be kept on file.

**Please, send the above information to us by clicking on the following email address:

jrbush@rushnellfamilyservices.com

OR, print this page , fill it in, and mail the information to us at:

John R. Bush Funeral Home
80 Highland Avenue
Belleville Ontario. K8P 3R4  

**  Please indicate your Chapel of preference **

Fax: 1-613-968-7104

Call: toll free at 1-800-568-9714

Local: 1-613-968-5588