Your browser does not support script
Pre-Need Information
Our Staff
Meet Our Staff
Pre-Need Information
Online Contact Form
Obituaries
Bernice Callahan 1946-2007
Little Miss Alexis Hembree 2003-2007
Master Michael Anthony Chastain 2007-2007
Mary Cebulski 1918-2007
Warren Victor Vanover 1960-2007
More >>

Click Here to Search J. Collins Funeral Home & Cremation Service Obituaries
Links Of Interest
BURIAL VAULTS
CASKETS
CREMATION PRODUCTS

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

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: