Pre-Arrangement Form

 

Pre-Arrangement Form – Printer-friendly Version:
Option #1: You can download the printer-friendly version of the Pre-arrangement form to your local computer from the link below. Once downloaded, open the PDF *, and enter your information on the form, then print it out on your printer or click . You may then either mail or fax it to us at the address or fax number below, or bring it with you when you visit.

Option #2: You can download the printer-friendly version of the Pre-arrangement form to your local computer from the link below. Once downloaded, open the PDF *, and enter your information on the form, then click the submit button to tranmit the form information to us.  A Shivers Funeral Chapel representative will response

 »Click Here to download the form – choose to, ‘Save to Disk,’ in the dialog box that appears (download times will vary depending upon connection.)

* NOTE: Adobe Acrobat Reader software is required to view this file – if you don’t already have the Reader installed on your computer, it is available for free from Adobe’s website – please click the icon at right to be taken to the download page.g-0010_get-acrobat-reader-button

 

Mail completed forms to the following address:

Shivers Funeral Chapel

12749 Courthouse Highway

Smithfield, Virginia 23430

Please call with any questions: 757.357.9500