Jefferson Funeral Chapel- Alexandria, Virginia.

More and more people are realizing the advantages of pre-arranging their funerals. The process is simple and the benefit to loved ones left to handle the arrangements is well recognized. The benefits are numerous: pre-planning allows you to express your own wishes; there is a guaranteed funeral price; there's no income tax liability; your funeral plan is transferable in case you move away; it relieves your family of the financial burden. By relieving your family of burdensome decisions at a difficult time, you are showing your love and respect for their needs, too.

The online pre-planning form below was designed to allow Jefferson Funeral Chapel to gather basic information about you and your desired funeral service.

Last Name:

First Name:

Middle Name:

E-mail:

Address:

City:

County:

State:

Zip Code:

Phone:

Marital Status: Social Security#:

Date of Birth: Place Of Birth:

Spouse's Name: Spouse's Maiden Name:

Place of Marriage: Date of Marriage:

Father's Name: Mother's Name:

Mother's Maiden Name:

Lodge / Union:

Place Of Service:

Funeral Home:

Address:

Phone:

Place of Visitation:

Religious Denomination:

Place Of Worship:

Person in Charge of Final Arrangements:

Please list any other instructions you may have:

Please select one of the options below:

Send information about pre-arrangement

Contact me to set an appointment

Please keep my information on file

Email: info@jeffersonfuneralchapel.com