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538 N. Hwy 288B
Clute, TX 77531
(979) 265-1188

Pre-Paid Funeral Plans

We at Stroud Funeral Home understand a funeral is probably the last thing you care to think about. But taking a few minutes to consider pre-arrangement saves someone you ove from being faced with these difficult decisions later at a time of great emotional and financial strain.

Pre-arranging your funeral service:

• Covers all services and guarantees the cost of today's prices
• Removes emotional burden from your loved ones
• Gives you peace of mind
• Protects your children, grandchildren and great-grandchildren at NO additional cost
• Shelters your funeral funds prior to nursing home exposure
• Requires NO health questionnaires or physical examinations
• Allows your account to be transferred to any funeral home in the country

Pre-Planning Information Form

All fields marked with a * are required:

Personal Information
First Name*
Last Name*
Middle Name*
Email*
Address*
City*
County*
State*
Zip Code*
Phone*
Vital Statistics
Marital Status	Never MarriedMarriedDivorcedWidowWidower
Social Security #
Date of Birth
Place of Birth
Surviving Spouse (if wife, give name prior to first marriage)
Fathers Name
Mothers Maiden Name
Education Level
Ever In U.S. Armed Forces
Ever A Peace Officer In Texas
Funeral Ceremony Information
Place of Service	Funeral HomeChurchCemetery
Religious Preference
Place of Burial
Additional Instructions
Additional Instructions
	Please select one of the options below:
	Send info about pre arrangement
	Contact me to set appointment
	Please keep my information on file