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When are these arrangements for? *

Pre-Arrangement for Future

I Need Services Now

Who are these arrangements for? *

Myself

Someone else

First Name *

Middle Name

Last Name *

Suffix (Jr, Sr, III)

Gender

Male

Female

Date of Birth

Date of Death

Organ & Tissue Donation

I wish to donate my corneas upon death to an eye bank.

I wish to donate other organs, bone and tissue at the time of my death.

Do you need cremation service?

Yes

No (the body will be buried)

Undecided

Final resting place?

Urn at home

Cemetery - Columbarium

Cemetery - Scattering Garden

Cemetery - Burial

Scattering Service (non-cemetery)

Undecided

Would you like a Natural Burial?

Yes

Undecided

Would you like additional services?

No service

1-hour viewing (no ceremony)

Memorial service (body not present)

Funeral service (body present)

Undecided

Place for services to be held?

Church

Mortuary

Cemetery

Other

Undecided

Place Name, City where services will be held

Do you wish to have gifts (donations) in lieu of flowers?

Yes

Undecided

Would you like a notice or obituary placed?

Newspaper

Online

Publication(s) for obituary placement

Preferred website for obituary placement

Primary Contact For Follow Up

First Name *

Last Name *

Relation to Deceased

Other Relation

Email Address

Enter Email

Confirm Email Address

Confirm Email

Phone Number

Fax Number

Address

Address Line 2

City

State

Country (if not U.S.)

Postal (ZIP) Code

Preferred Contact

Preferred Doc Delivery

Message / Notes / Requests / Questions

If you are human, leave this field blank.

Easy Arrangments Worldwide

Offering Care in Greater Seattle
King & Snohomish Counties

Seattle Location

1700 Westlake Ave Ste 200
Seattle, WA 98109
(206) 357-1141

Bellevue Location

2105 112th Ave NE #100
Bellevue, WA 98004
(425) 458-6635

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