Haine Funeral Home & Chapel
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                Online Prearrangement

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                Prearrangement For


                Title
                 

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                Given Names
                 
                Maiden Name
                 

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                Male   Female

                Date of Birth
                 
                Place of Birth
                 

                Address
                 
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                Email
                 

                Marital Status



                Kind of Business
                 
                Type of Work
                 


                Spouse


                Title
                 
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                Maiden Name
                 


                Executor


                Title

                Surname
                 
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                City
                 
                Province
                 
                Postal Code
                 
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                Email
                 


                Church Affiliation
                 


                Cremation     Burial     Entombment


                Is Cemetery Prearranged ?
                Yes     No    Not Applicable
                Cemetery Name ?
                 


                Information for Obituary



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                Contact Us


                905-227-1732

                info@hainefuneralhome.com

                26 Ormond Street South

                Thorold, ON L2V1Y4

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                Funeral Director

                on call 24 hours

                 

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