Name: ____________________________________________________ Year of Birth: _______________________________________________ Place of Birth: ______________________________________________ Date of Death: ______________________________________________ Parents' Names: _____________________________________________ Spouse's or Significant Other's Name: ______________________________ Children's Names (and Spouses): Often the spouse's name is put in brackets.
Grandchildren's Names: _______________________________________ Brothers and Sisters: __________________________________________ Education: _________________________________________________ Employment: _______________________________________________ Organizations and Memberships: _________________________________ Awards, Honors, Achievements: __________________________________ Date, time and location of service (and Visitation if there is one) ____________ Additional Information: You may want to include cause of death, description of the
deceased's character. ______________________________________
Charitable Request: Some prefer in lieu of flowers a donation to a cause that was important to the deceased._____________________________________