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Related Topics

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Services and Wakes

Funeral services can take many forms, and some of these forms may be dictated by religious or cultural traditions.

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Our Coffin Range

Gympie Funerals offer a range of coffins for burials and cremations

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Dealing with Grief

Information to help during times of your own and other people's grief

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Memorial Books

Gympie Funerals offer a range of high-quality Memorial Books for our clients to use at their funeral service.

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Floral Arrangements

Gympie Funerals work with Cooloola florists to prepare floral tributes for burials and cremations.

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Funeral Notices

Gympie Funerals can arrange for funeral notices to be published in newspapers and/or on radio for our clients.

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Prepaid Funeral Plans

Gympie Funeral Services offer a range of prepaid funeral plans to meet all needs.

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Arrange A Funeral

You can arrange a funeral online by filling out the form below. There are a minimum of five items of information we're required to collect, these are marked with a red asterisk *

 

Details of Deceased:

   
 
*Deceased's Full Name:
 
 
*Deceased's Date of Birth:
 
 
*Deceased's Place of Birth:
 
 
*Deceased's Address:
 
 
Date of Death:
 
 
Place of Death:
 
 
Deceased's Regular Doctor:
 
 
Occupation:
 
 
Father's Full Name:
 
 
Father's Occupation:
 
 
Mother's Full Name:
 
 
Mother's Maiden Name:
 
 
Mother's Occupation:
 
 
Where Married - 1st:
 
 
At What Age? - 1st:
 
 
To Whom? - 1st
 
 
Where Married - 2nd:
 
 
At What Age? - 2nd:
 
 
To Whom? - 2nd:
 
 
Where Married - 3rd:
 
 
At What Age? - 3rd:
 
 
To Whom? - 3rd:
 
 
Marital Status?




 
 
Spouse Died? (where and when)
 
 
Year arrived in Australia?
 
 
Aboriginal/Islander?


 
 
Pension Number:
 
 
Veterans Affairs Number:
 
 
Medicare Number:
 
 
Send Death Certification to: (Name and Address)
 
 
   
 
Children's Information:
   
 
1st Child's Christian Names:
 
 
1st Child's Date of Birth:
 
 
2nd Child's Christian Names:
 
 
2nd Child's Date of Birth:
 
 
3rd Child's Christian Names:
 
 
3rd Child's Date of Birth:
 
 
4th Child's Christian Names:
 
 
4th Child's Date of Birth:
 
 
5th Child's Christian Names:
 
 
5th Child's Date of Birth:
 
 
6th Child's Christian Names:
 
 
6th Child's Date of Birth:
 
 
7th Child's Christian Names:
 
 
7th Child's Date of Birth:
 
 
8th Child's Christian Names:
 
 
8th Child's Date of Birth:
 
 
9th Child's Christian Names:
 
 
9th Child's Date of Birth:
 
 
10th Child's Christian Names:
 
 
10th Child's Date of Birth:
 
 
11th Child's Christian Names:
 
 
11th Child's Date of Birth:
 
 
12th Child's Christian Names:
 
 
12th Child's Date of Birth:
 
   
 
  Funeral Preferences:
 
 
Burial/Cremation?


 
 
Cemetery/Crematorium of choice:
 
 
I wish the cremated remains to be:
 
 
Religion:
 
 
If church service, Church:
 
 
Do you want flowers on the coffin?


 
 
Further instructions/requests:
 
 
Name & address of Next of Kin or Executor:
 
   
 
  Authorisation:
 
 
Name and address of the person completing this form:
 
 
Preferred contact person:
 
 
Relationship to the deceased:
 
 
Date:
 
 
*Telephone number:
 
 
Email address:
 
 
Any additional comments:
 
       
   

 

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