~ 330 St. Landry Street ~
~ Lafayette, LA 70506 ~
~ 337-234-2311 ~
mourning@mourning.com




Your Last Wishes

This form will provide us with valuable information
regarding your wishes for funeral services.

The first to do following my death is to
contact Martin & Castille Funeral Home.
The following arrangements are in accordance with my wishes.

*Name:
*Address:
*Phone:

*Send to:
* Enter your email address above after the comma to receive a copy of this information for your file. If you wish to send this to multiple emails, simply enter the email addresses separated by commas (no spaces). Make sure not to delete the mourning@mourning.com so we receive your request.
Example: mourning@mourning.com, me@aol.com, myfamily@msn.com

Type of Service: (Check only one.)

Traditional Limited Graveside Cremation

Other:

Type of Casket: (Check only one.)

Clothwood Exposed Wood Metal
Metal Sealer Polished Hardwood  

Other:

Viewing (wake):

(a) Yes No
(b) Open Casket Closed Casket
(c) Traditional (evening & morning) Evening or morning visitation only

Obituary:
Yes No
Name of Newspaper:

Religious Services:

(a) Yes No
(b) Funeral Chapel Church
(c) Clergyman:

Fraternal or Other Affiliations:

Pallbearer Suggestions:

Comments: