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Thank you for your interest in the Cremation Society of New England. Please complete the following form to begin the pre-planning process. Once we have received your information, store the information in our computers so that is on on record at a time of need. If you indicate you would like to pre-fund your services, we will send you the appropriate paperwork to establish a pre-funded funeral trust.The information provided below should be for the member (the person whose cremation we will be facilitating). If you are filling out this form for someone else, it is their information (not your own) that you should be providing.

Membership Form


Family Information: Please list the names of survivors and state their relationship to you, their spouse's names and the city in which they live as you wish to have them listed in the memorial. (The following is a guide to assist you.) SURVIVORS: Spouse, Sons, Daughters, Parents, Brothers, Sisters, Grandchildren, (Great-grandchildren), Grandparents, Others (Eg. Son: Joe Smith and his wife Paula of Milledgeville)

Work History

Work History

Memorial Service Preferences

If you are completing this form for someone else:

Serving all of Connecticut.

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