Address: 21 King Street Whakatane E:willettsfuneral@xtra.co.nz
Phone: Whakatane (07) 307 1111 Fax: (07) 307 2111 Opotiki:(07) 315 8888

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Pre Arrangement Form

You can record as much or as little information as you feel comfortable with. All records kept at our office are confidential. 

 

If we can be of further assistance or you have any other questions, 
Please do not hesitate to contact us at:
Whakatane (07) 307 1111 or Opotiki (07) 3158 888

* Only questions with a red asterix must be completed

 

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1st Marriage

2nd Marriage

3rd Marriage

Example: Sara Jane Smith 21/12/1972, Ann May Bright 28/02/1974
Example: Garth Jo Smith 21/12/1972, Brad Ray Smith 28/02/1974

The information requested below is not required by the registrar; you can record as much
or as little information as you feel comfortable with, 
this enables you to record your personal wishes to help your grieving loved ones know your wishes and any other specific requests you would like.

Question 1

Question 2

Question 3

Question 4

Question 5

Question 6

Question 7 - Burial

Question 8 - Cremation

Question 9 - Scattering your Ashes

Question 10 - Interring your Ashes

Question 11 - Special Requests