My Wishes to Honor My Life

Instructions to Surviving Relatives and/or Designated Agents

First name

Last name

Phone

Type(s) of gathering (Funeral, Memorial, Graveside Service, Celebration of Life, Reception, Home Vigil, Wake, etc. Be as specific as possible):

Location of gathering (Place of Worship, Home, Specific Location in Community, etc. Be as specific as possible):

Gifts, gestures, mementos I would like given away to those who attend:

Specific food, flowers, music, photos, or other items/wishes I would like represented:

NOTICES

Obituary Preference

I DO want notices of my death (obituary) published.

I DO NOT want notices of my death (obituary) published.

Memorial Gifts:

I DO NOT prefer memorial gifts or donations in lieu of flowers.

I DO prefer memorial gifts or donations in lieu of flowers. I ask that donations be sent to the organization(s) listed below.

Organizations I would like donations sent to in my honor:

A gathering to honor my life and all other decisions are up to surviving relatives and loved ones to decide.

Additional thoughts before I submit this, because I want whatever happens to be truly special for the people I love.