Society - Waynes Funeral Services

BURIAL PLAN

Plan A

Registration fee $20.00
Monthly contribution $20.00
Funeral benefit $3,000.00 immediately
Must be under 60yrs to join

Plan B
Registration fee $20.00
Monthly contribution $5.00
2 years to qualify for funeral benefit of $3,000.00
40% discount on selected coffin if death occurs Before 2yrs

Plan C
Registration fee $25.00
Monthly Contribution $20.00
Funeral Benefit $5,000.00 immediately terms and conditions applied

Fill out the form below….

Burial Plan Form

Select Plan
Plan APlan BPlan C
Title
Full Name
Date of Birth
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone
Marital Status
Name of Spouse
National ID
Religion
Church
Last Club or Organization
Type of Funeral
BurialCremation
Place of Burial
Funeral Service to be held at?
Any Special instructions to follow upon death?
Next of Kin/Executor/Excurtrist
Name
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone
Email
Relationship

Verification

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