Name
 Phone
Address
 E-mail Address
Date Of Birth
 Place Of Birth
Fathers Name
Mothers Name
Married When, Where & to Whom
Occupation
Children & Spouses Names
 Children & Spouses Address
 Surviving
Yes
 No
# Of Grandchildren
 # Of Great-Grandchildren
 # Of Great Great-Grandchildren
# Of Step Grandchildren
 # Of Step Great-Grandchildren
 # Of Step Great Great-Grandchildren
Surviving
Siblings & Spouses Names
 Siblings & Spouses Address
Yes
 No
Visitation Hours Suggested
Visitation Place Suggested
Funeral Time Suggested
Funeral Place Suggested
Minister Suggested
Name Of Cemetery
 City & State Of Cemetery
Memorial Contribution Suggested
Casket Flowers Suggested
Pallbearers
Music Suggested
Scripture
Suggested
Honorary Pallbearers
Memberships
and Activities
Special request
for funeral home
or family
A Final Message To My Family
After pressing the "Submit Information To The Funeral Home" button your information will
be transmitted to the funeral home, You may call to confirm receipt or at any time to
update your information.
                                              Neil Stewart
Many people are choosing to arrange their own funeral today. This pre-planning service often brings great
comfort to the individual planning the service knowing that all of their final wishes will be followed and that
they have lifted a great deal of responsibility from their survivors in what may be a difficult time.


Benefits Of Pre-arranged Funerals

* Individuals can provide accurate personal information that may be more difficult for their family to locate.

* Individuals can select funeral services and merchandise in a relaxed setting and make personal
decisions that fit their lifestyles and finances.

* Funeral trust can guarantee that your survivors will not be burdened by any of your final expenses,
regardless of nursing home or other major personal expenses.

* You have “Peace Of Mind” that all of your final needs will be taken care of in the manner you desire.


How Do I Begin ?


* You may make online pre-arrangements using the form below

OR

* Call the funeral home to set up an appointment at your convenience.
We can meet at the funeral home or at  your residence.


* There is no cost or obligation to you for these services.
Miller-Stewart Funeral Home
1003 South Main Street
Middlebury, IN.  46540
Phone: 574-825-2930 ~ Toll Free 1-866-825-2930