Please click on the link below to PRINT our Pre-need Form or our Authorization to Cremate Form.*
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© Copyright 2008 Remick & Gendron Funeral Home Crematory, Inc.
All Rights Reserved
Preneed Planning
The Home of Personal Service
Traditional & Contemporary Services
· 811 Lafayette Road ·
Hampton, New Hampshire 03842
Phone (603) 926-6500 · Fax (603) 926-0295
Our Office Hours
Monday thru Friday 8:30 am - 4:30 pm
Saturday 9:00 am - 12:00 pm
Online Preneed Planning Form
Fill in and Click Submit, Thank you.
First Name
Birth Given Middle
Last Name
Residence
City
State
Zip Code
Social Security Number
Birthplace
Date of Birth
Marital Status
Name of Last Spouse (If wife give maiden name)
Education
Name of Educational Institution
Number of years completed / Degree level
Mother (First, Middle, Maiden)
Father (First, Middle, Last)
Veteran of US Military Service
Military Service Information
(Discharge or Other Proof of Service is Required)
Cemetery
Occupation (Most of Life)
Kind of Business
Name of Employer
Your Name (Informant)
Your Mailing Address
Your E-Mail Address *
Your Phone Number
Names of Surviving family members and their residences
No. of grandchildren
No. of great-grandchildren
Clubs and Memberships
Schools attended and year of graduation
Years living at current residence
Coming From?
Omit Flowers
If desired memorial donations may be to:
Additional Information and Requests
* Required to submit this form
Click Here to
This Form
This FormPreneed planning is peace of mind.
More and more people are discovering the advantages of planning a funeral in advance of need. Making your wishes known ahead of time, in consultation with those you love and with respect for their emotional needs, can provide you with real peace of mind. Pre-need planning is a simple and thoughtful thing to do.
Pre-funding the preplanned funeral.
Paying for tomorrow’s funeral at today’s price and locking in the cost is an increasingly popular option. All through life we try to prepare for - the house fire, car accident, disability insurance etc. Doesn’t it really make sense to prepare for the inevitable too?
We can provide pre-funding options and would be happy to discuss these options with you.
Remick & Gendron
Funeral Home-Crematory, Inc.
Serving the Seacoast Area Since 1971
E-mail us at Info@RemickGendron.com
