Haine Funeral Home & Chapel
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Online Prearrangement

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Prearrangement Information


Title
 

Surname

Given Names
 
Maiden Name
 

Sex
Male   Female

Date of Birth
 
Place of Birth
 

Address
 
City
 
Province
 
Postal Code

Phone
 
Email
 

Marital Status


Fathers Name

Birthplace 

Mothers Name (Maiden)
Birthplace


Kind of Business
 
Type of Work
 


Spouse


Title
 
Surname
 
Given Names
 
Maiden Name
 


Executor


Title

Surname
 
Given Names
 
Address
 
City
 
Province
 
Postal Code
 
Phone Number
 
Email
 


Church Affiliation
 


Cremation     Burial     Entombment


Is Cemetery Prearranged ?
Yes     No    Not Applicable
Cemetery Name ?
 


Information for Obituary



Additional Comments




Submit


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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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License 527-Funeral Establishment Class-1

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