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Submit Vital Information

Vital Statistics

Who is this Pre-Arrangement For?

CONTACT INFORMATION

MARITAL STATUS

OPTIONAL INFO

PARENTS' Names

If you are Arranging for Someone Else, Your Information:

DISPOSITION

SERVICE / CEREMONY

FINAL Resting Place

Visit www.prepaidfunerals.texas.gov for information relating to the purchase of pre-need funeral contracts including descriptions of the trust and insurance funding options available under state law.
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