CONTACT US   |   (325) 735-2255   |   MAP & DIRECTIONS    
Weathersbee-Ray Funeral Home
EASY FUNERAL PRE-PLANNING FORM
 

To be placed in the permanent files of Weathersbee-Ray Funeral Home.
*Require fields

Person Completing this Form*:
Relationship*:
Email*:
 
Pre-arrangement Guide For
Full Legal Name*:
(no initials please)
Address:
(no P.O. Box)
City:
State:
Zip:
Date of Birth:
(mm/dd/yyyy)
Place of Birth:
Father's Full Name:
Mother's Full Maiden Name:
Highest Level of Education Completed:
Degree:
Veteran: Yes No
Military Branch:
Dates of Service:
Occupation:
Spouse's Full Name:
(Wife's maiden name, if applicable)
Religious Affiliation/Congregation:
 
Family Member Information

Family Member #1

 
Funeral Arrangement Details
Person in charge of arrangements:
 
Place of service or gathering:
If Other, please specify:

 

Preference for final disposition:
If Other, please specify:
Cemetery:
Disposition of cremated body:
 

In the space provided below, please share any information that would be helpful in creating a meaningful service. (ie. favorite hobbies, places, music selections, poems, scripture, etc.)

Any final thoughts that should be shared?

 

Do you wish to be contacted to discuss the details
of these arrangements, cost or payment options? Yes No

If yes, how should we contact you:
Phone Number:

If no, we will keep this information on file until you or your surviving family requests it.

  security code
Enter Security Code:

 

NOTE:
Texas law requires sellers of prepaid funeral contracts to hold a permit issued by the Texas Department of Banking. For additional information regarding prepaid funeral contracts, go to the website located at: www.prepaidfunerals.texas.gov.

Gudrun Molina
Born: 5/24/1967
Died: 10/1/2017
Nancy Cheyne
Born: 8/8/1940
Died: 9/27/2017
June Ballentine
Born: 5/31/1933
Died: 9/21/2017
Noil Matthies
Born: 8/17/1923
Died: 9/13/2017
Sheila Goswick
Born: 3/23/1947
Died: 9/12/2017
Junita Smith
Born: 10/24/1928
Died: 9/7/2017
Susie Flores
Born: 7/4/1961
Died: 8/23/2017
Doris Bullock
Born: 6/25/1942
Died: 8/22/2017
Trulah Patton
Born: 1/8/1924
Died: 8/16/2017

Search Obituaries

 
Send Flowers What Can I Do?
Weathersbee-Ray Funeral Home | 111 N. McKinley | Rotan, TX 79546 | (325) 735-2255
©2017 Weathersbee-Ray Funeral Home | All Rights Reserved | Terms of Use | Privacy Policy | Site By Gemini Graphics Inc.