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321 N Wood St
Valentine, NE, 69201
Phone: 402-376-2840
Fax: 402-376-2847

Pre-Plan Online

Would it be better in your situation to plan ahead, calmly and sensibly, when you are in a normal mental and physical state, when you have full ability to reason, and when you are able to discuss arrangements with your family?

You may file vital statistics and preferred funeral information with us on-line by filling in the form below.


I. Biographical Information
Full Name:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number: (xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:                  
Please select Grade/Years of Education completed:                  
   
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:            
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence            
Relatives Who Have Preceded You In Death            
Your Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:
         

II. Military Record
       
Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):            
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences
Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:            
Pallbearers:            
Flower Preference:            
Music Selection:            
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:
         

Miscellaneous Notes and Instructions:

         

             

       

Please select one of the options below:

Please send me information

Please contact me to schedule an appointment

Please place my information on file

         

       

 

 

Our Services

We understand it's not always possible to pay respects in person, & hope that this will help.

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Daily Grief Support by Email

Grieving doesn't always end with the funeral: subscribe to our daily grief support email, designed to help you a little bit every day, by filling out the form below.

Weekly Email Tips to Support a Grieving Friend

Those grieving are in great need of support. If a close friend has recently experienced a loss, fill out the form below to subscribe to our weekly tips and find out how you can be most helpful.

Immediate Need

Nothing can prepare us for the loss of a loved one. We are available day or night.

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Prarrangement

Let us help you make decisions for the future. what options are available?

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Book of Memories ™

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Proudly Serving the Community of Valentine
402-376-2840
321 N Wood St
Valentine, NE 69201
Fax: 402-376-2847
Email: karlanne@holmesfh.com
402-376-2840
321 N Wood St
Valentine, NE 69201
Fax: 402-376-2847
Email: karlanne@holmesfh.com
402-376-2840
321 N Wood St
Valentine, NE 69201
Fax: 402-376-2847
Email: karlanne@holmesfh.com
402-376-2840
321 N Wood St
Valentine, NE 69201
Fax: 402-376-2847
Email: karlanne@holmesfh.com
402-376-2840
321 N Wood St
Valentine, NE 69201
Fax: 402-376-2847
Email: karlanne@holmesfh.com