On-line Pre-planning Form

To request more information regarding pre-planning or to begin the pre-planning process, please call us at: 301-898-7177, or you may also complete and submit our easy On-line Pre-planning Form below.

There are numerous benefits to pre-planning a funeral, some of which include:

  • Peace of mind
  • Relieving your loved ones of unnecessary concern
  • Reflecting your expressed wishes
  • Alleviating financial burden on your family

Please take a few minutes to fill out the Online Pre-planning Form below. Once the information is submitted, a Resthaven Memorial Gardens representative will review and file it and will be in touch with you to further discuss the details of your arrangements.
NOTE: Fields marked with an asterisk ( * ) are required. Any information you submit will be held in the strictest confidence - we do not release any information to outside parties under any circumstances.

 Information About The Person Completing This Form:
* First Name:
* Last Name:
* E-mail:
* Street Address:
* City:
* State:
* Zip Code:
* Phone:
Person for Whom I Am Pre-planning:

 Vital Information About The Person For Whom Pre-planning Is Being Done:
Last Name:
First Name:
Middle Name:
Sex:
Marital Status:

  Other Information & Instructions:
Please list any other instruction or information you would like us to have:

 Options:
Please select one of the options below:
Please contact me in the next 3-5 business days to provide me general information about Pre-planning.
Please contact me in the next 24-48 hours to set up an appointment to discuss my specific needs.



9501 Catoctin Mountain Highway (US 15 North) Frederick, Maryland 21701     |     (301) 898-7177 (24 hours)

© Copyright 2008 Resthaven Memorial Gardens and FuneralNet®

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