Record Your Funeral Wishes

Our complimentary ‘Memories Matter’ booklet guides you through the process of customising your funeral arrangements. We can talk through it with you if you want us to help guide your choices, but there is no obligation.

DOWNLOAD BOOKLET

Once completed, return it to 130 Bellarine Highway, Newcomb, VIC 3219. We will record your wishes and return the booklet to you to keep in a secure place with your other valuable documents. Alternatively, email it to pp@kingsfunerals.com.au.

DOWNLOAD YOUR BOOKLET

COMPLETE ONLINE

Please ensure you allow at least 15 minutes to complete this form online as it is not possible to save and return to your answers. Alternatively, it may be more suitable for you to download and print a copy.

COMPLETE ONLINE

Pre-arranged Funeral Personal Details

Personal Details
Parent's Details
Relationships
Children's Details
Funeral Contact Person
Funeral Preferences
Favourite Memories

Personal Details

Your Funeral Arranger will apply for a death certificate through Births, Deaths and Marriages on your behalf.

Prefix:

Pronouns:

Gender

Male

Female

Other

Other Gender

Full legal name: *

Family name at birth:

Preferred name:

Also knows as:

Place of residence:

Email

Date of birth:

Place of birth (Town/Suburb):

Country of birth (if born overseas):

Date of arrival (if born overseas):

Occupation during working life:

Religion (if any):

Centrelink (CRN):

Medicare card details:

If you are human, leave this field blank.

WANT TO TALK IT THROUGH?

WE’RE HERE FOR YOU.

Contact us at any time and we’ll be glad to help. We’re here with expert guidance and an understanding ear 24 hours a day seven days a week. And it’s easy to arrange an appointment for a personal consultation. Call us: (03) 5248 3444

REACH OUT TO US FOR A NO-OBLIGATION CHAT