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Preplan Online

Pre-Plan Online

Please fill out the information below and press "SUBMIT" to forward it to our funeral home. Someone from our staff will be in touch with you as soon as possible


Personal Info

YOUR PERSONAL INFORMATION:

 

BENEFICIARY'S PERSONAL INFORMATION:

 
 
 
Family Info
 
 
 
 
 
Education/Work
 
 
Military Service
 
 
Service Options

VISITATION OPTIONS:

 

FUNERAL OPTIONS:

 
 
Service Requests

Please list any musical selections you would like to include in your services.

Please list any poems, religious texts, or readings you would like to be read at your services.

Please list any interests or hobbies you would like to include into your services or listed in your obituary.

Please list any special themes you would like to include into your services.

Is there a special story, personal thank you, or message of hope you would like to be read during your services?

 
 
Final Disposition

 

 

DISPOSITION OPTIONS:

 


Thank you for taking the time to complete this form. A member of our staff will review your information and contact you to further discuss the details of your arrangements.

 

Charles M. Noll Funeral Home |
PO Box 5006 Southern Williamsport PA 17702

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