Contact Us | Send Flowers PARKSLEY | ONANCOCK Home Obituaries About Us... Services... Merchandise... Pre-Plan... Veterans... Resources... Pre-Arrangements Form Use this form to provide us with as much or as little detail as you wish. At a minimum, provide us with your name and telephone number and tell us how you'd like us to work with you on the remaining information using the options at the base of the form. Pre-Arrangement Details Personal Information I am making arrangements for: Myself My Spouse My Mother My Father My Child My Friend Other Full Name Street City State/Province Alberta Alaska Alabama Arkansas Arizona British Columbia California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Manitoba Maryland Maine Michigan Minnesota Missouri Mississippi Montana New Brunswick North Carolina North Dakota Nebraska New Hampshire New Jersey Newfoundland and Labrador New Mexico Nova Scotia Northwest Territories Nunavut Nevada New York Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Yukon ZIP/Postcode Telephone Date of Birth SSN # Email Address Place of Birth Father's Name Mother's Name Mother's Maiden Name Marital Status Married Never Married Divorced Widow Widower Father's Place of Birth Mother's Place of Birth Spouse's Name Place of Marriage Spouse's Maiden Name Date of Marriage Additional Family Members Please use the area above to enter the names of siblings, children and grandchildren. Work/Education History Education Level Grade School High School Degree Masters Degree Doctorate Occupation Company Name Business Field Military Record Did you serve in the military? Yes No Branch of Service Date Entered Service Date Discharged Serial Number Rank at Discharge Discharge on file at Do you have a copy of your discharge papers? Yes No Wars Fought In Person in Charge Person in Charge Address Person in Charge Telephone Funeral Service Request Place of Service Funeral Home Church Cemetery Place of Service Telephone Place of Visitation Religious Denomination Place of Worship Lodge/Union/Assoc. Membership Person in charge of final arrangements Disposition Request I Prefer Earth Burial Mausoleum Cremation Other Cemetery Lot # (if applicable) Section/Letter (if applicable) Grave # (if applicable) Cemetery Address Cemetery Telephone I have made a last will and testament Yes No Location of Will Summary Details Additional instructions for us Memorial requests or donations to charity Please select from one of the options below: Send me information about pre-arrangements Contact me to set up an appointment No appointment needed just keep my request and information on file Anti-Spam Security Question Submit Information Home Home Obituaries All Obituaries About Us Our History Our Staff Testimonials Contact Us Privacy Policy Directions Williams-Parksley Williams-Onancock Services General Services At-Need Form Merchandise Funeral Merchandise Caskets Vault List Cremation Merchandise Pet Cremation Merchandise Pre-Plan Pre-Arrangements Pre-Arrangements Form Veterans Veterans Overview Veterans Headstones Veterans Burial Flags Resources Local Resources Frequent Questions Grief Support Social Security Benefits WPFH 25046 Parksley Road, PO Box 1 Parksley, VA 23421 Tel: 757-665-5153 Contact Us | Send Flowers WOFH 94 Market Street, PO Box 218 Onancock, VA 23417 Tel: 757-787-2340 © 2021 Williams Funeral Homes & Shore Crematory. All Rights Reserved. Funeral Home website by CFS & TA | Terms of Use | Privacy Policy