Your browser does not support script
Pre-Need Information
Our Staff
Meet Our Staff
Pre-Need Information
Online Contact Form
Obituaries
Ronald Neil Brokaw 1925-2009
Emmalee Rain Courtney Adkins 2008-2008
Elsie Adams Sharp 1915-2008
Raymond Lee Plybon 1932-2008
Margaret Rosalee McDaniel 1925-2008
More >>

Click Here to Search Henson & Kitchen Mortuary Obituaries
Memorials
Eudoris Dickey Williams West Virginia
Mary Louise Nelson West Virginia
Raymond L. Hensley, Sr. West Virginia
Virginia M. Whited West Virginia
Mary Lou Kelley West Virginia
More >>
Links Of Interest
FD Vault & Casket Orders
Henson & Kitchen Mortuary
Funeral & Cremation Services

TFM Links
Home
Obituaries
Memorials
Locator
You Should Know
Our Goals
Contact Us

Henson & Kitchen Mortuary
Family Owned & Operated

Huntington - Barboursville, West Virginia 25705
Phone: (304) 736-8986
Fax: (304) 736-8987
Contact us with questions and comments
Web Site: www.hensonmortuary.com

Pre-Need Online Application.


Step 1 Biographical Information


Step 2 Arrangement Information

Full Name
(First MI Last):
Marital Status: Social Security#:
Date of Birth: Place Of Birth:
Address:
City: State:
County: Zip:
Phone: E-mail:
Spouse's Name: Spouse's Maiden Name:
Place of
Marriage:
Date of Marriage:
Father's Name: Mother's Name:
Mother's Maiden Name:

Work/Education History
Education(0-12): College 1-5+:
Occupation:
Business: Company:

Military Record
Branch of Service: Serial Number:
Date Enlisted: Rank At Discharge:
Date Discharged: Discharge On File At:
Copy of Discharge Papers:    Yes    No
Name Of Wars:
Person in Charge:
Address:
Phone:
Insurance Information: