The desire to help others has always been a concern of the Stevenson family
2067 1st Street West Dickinson, ND
HomePre-Planning Form

Online Pre-Planning Form

We’ve developed this powerful online tool to assist your pre-planning. Our secure website allows you to start and return to your plan as many times as needed. Please use our online form to think about, and record end-of-life wishes for yourself, and/or your loved ones.

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Online Pre-Planning Form

Take your time, and make these decisions in the privacy of your own home with our simple online pre-planning form. We'll automatically save your work, so you can come back anytime and continue where you left off.

Information on whom this plan is for:
Whom Plan is For?please pick one
Nametheir full name
Genderpick one
Image (optional)upload
Upload Image
Your Information:
Nameyour full name
Phonetelephone number
Preferred Contact Methodpick one
Biographical Information
Birth Datemonth / day / year
Birth Placecity and state
Family Information
Father's Namefull name
Mother's Namemaiden name
Marital Statuspick one
Spouse's Namespouse's full name
Education & Work
Occupationadd employer if desired
Educationpick highest level
Military Service
Military Servicepick one
Branch of Servicepick one
Discharge Dateapproximate if not known
DD214 Formupload if available
Upload DD214 Form
Would you prefer burial or cremation?
Burial or Cremationpick one
Cemeteryname and location
Cremation Optionspick one
Visitation Options
Visitationpick one
Visitation LocationName City, State
Funeral Service Options
Funeral Servicepick one
Funeral LocationName City, State
Reception Options
Reception Optionspick one
Reception LocationName City, State
Final Disposition
Dispositionpick one
Service Requests
Clergyrequests
0 /
Readingspoems, religious text
0 /
Musiclist selections
0 /
Pallbearerslist names
0 /
Organistfull name
Readerslist names
Serverslist names
Gift Bearerslist names
Eucharistic Ministerfull name
Memberships & Community Involvement
0 /
Special Requestslist requests
0 /
Tribute Videoadd photos
DVD Songslist songs
Imagesupload up to 100 images
Upload Your Images
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Phone: 866-483-7900
Fax: 701-483-7901
2067 1st Street West
Dickinson, ND 58601

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