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George P. Kalas Funeral Home P.A.
2973 Solomons Island Rd
Edgewater, MD 21037
410-956-4488
George P. Kalas
Funeral Home
6160 Oxon Hill Road
Oxon Hill, Md. 20745
301-567-9424
Pre-Planning Form
I am planning for:
Myself
My Spouse
My Mother
My Father
My Child
My Friend
Other
Personal Information
Name:
Email Address:
Address:
City:
State/Province:
Country:
Zip Code:
Phone Number:
Place of Birth:
Date of Birth:
Sex:
Male
Female
Citizenship:
Marital Status:
Married
Widowed
Never Married
Divorced
Spouse (Maidenn Name):
Father's Name:
Mother's Maiden Name:
SSN:
Religous Preference:
Education
High School Name:
# of Years:
College Name:
# of Years::
Family Information: Please list the names of survivors and state their relationship to you, their spouse's names and the city in which they live as you wish to have them listed in the memorial. (The following is a guide to assist you.) SURVIVORS: Spouse, Sons, Daughters, Parents, Brothers, Sisters, Grandchildren, (Great-grandchildren), Grandparents, Others (Eg. Son: Joe Smith and his wife Paula of Milledgeville)
Survivors:
Preceded in Death by::
Additional Information and Organ:
Work History
Occupation:
Business:
Industry:
Company:
Number of Years:
Years Retired:
Military Service
Service Branch:
Serial Number:
Date Enlisted:
Rank at Discharge:
Date Discharged:
Discharge on File At:
Combat Action:
Funeral Preferences
I prefer my Funeral Service to be
Public:
Private:
Visitation
Public:
Private:
Place of Service:
Chapel
Cemetery
Church
Other
Other:
I prefer
Cremation:
Burial:
Entombment:
For security, please enter the letter or number displayed in the corresponding box below each character. The letters do not have to be capitalized
Muriel French
Mable Swann
Hazel Willard
SFC Roosevelt Speaks, USA,(Ret.)
Catherine Gladmon
David Walden
Barbara Grabill
Lloyd Snellings
John Helmick
Marilyn Hardin
Charles Evans
Steven Flury
Marguerite Owens
Mary Romeo
William Hallahan
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Home
|
About Us
|
Our Facilities
|
Community Relations
|
Personalizing Your Service
|
Live Funeral Webcasting
|
Cremation
|
Resources & Useful Links
|
Product Showroom
|
Pre-Planning Form
|
Ten Payment Options
|
Contact Us
|
Login
|
Obituaries
|
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