Immediate Need: (518) 346-3881

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Name & Residence

First Name*:

Middle Name:

Last Name*:

Address

Address:

City:

Country:

State/Province:

Zip/Postal code:

Phone Number:

Email Address:

Date of Birth:

City of Birth:

State of Birth:

Spousal Information

Used on obituary

Spouse First Name:

Spouse Last Name:

Spouse Maiden Name:

Relationship:

Cell Phone

Date of Birth:

Deceased:

Date Married:

Place of Marriage:

If Deceased : Date of Death:

Populates on obituary

Father's & Mother's Information

Used on obituary

Mother First Name:

Mother Last Name:

Mother Maiden Name:

Relationship:

Cell Phone

Date of Birth:

Deceased:

If Deceased : Date of Death:

Father First Name:

Father Last Name:

Father Maiden Name:

Relationship:

Cell Phone

Date of Birth:

Deceased:

If Deceased : Date of Death:

School Information

School:

Education Level:

Program Attended:

Number of Years:

Year Graduated:

Honors?:

Education Notes:

Occupation

Working Status:

Occupation:

Industry:

Company Name and Location:

Year Retired:

Used on obituary.

Notable Work History:

Military Service Information

Served in Armed Forces?*:

Branch of Service:

Rank / Grade:

Enlist Date:

Enlist Location or First Deployment:

Discharge Date:

Discharge Type:

# of Deployments / Wars:

Military Honors, Medals, Etc.:

Service Number:

VA File Number:

Honors to be rendered:

Military Funeral Services Information:

Used on Obituary

Cemetery Information

Cemetery:

Address:

City:

Country:

State/Province:

Zip/Postal code:

Phone:

Section:

Lot:

Block:

Row:

Grave:

Biography

Tell us about what he/she enjoyed doing, favorite activities, hobbies, and life passions etc.

Interests and Hobbies:

Notable Life Accomplishments:

Church Affiliation:

Address:

City:

Country:

State/Province:

Zip/Postal code:

Phone:

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Online Pre-Need Arrangement Form

Personal Information

Goods and Services

Address

Jones Funeral Home, Inc.
1503 Union Street
Schenectady, New York 12309
Phone: (518) 346-3881
Fax: (518) 346-3881
Email: JonesFuneralHome@aol.com

Proudly Serving Schenectady NY and the following(but not limited to) Communities of Rotterdam, Glenville, Scotia, Colonie, Latham, Guilderland, Albany and Saratoga NY.

Online Pre-Need Arrangement Form

Personal Information

Goods and Services

Address

Jones Funeral Home, Inc.1503 Union StreetSchenectady, New York 12309Phone: (518) 346-3881Fax: (518) 346-3881Email: JonesFuneralHome@aol.com

Proudly Serving Schenectady NY and the following(but not limited to) Communities of Rotterdam, Glenville, Scotia, Colonie, Latham, Guilderland, Albany and Saratoga NY.

Jones Funeral Home, Inc.
1503 Union Street
Schenectady, New York 12309
Phone: (518) 346-3881
Fax: (518) 346-3881
Email: JonesFuneralHome@aol.com