Immediate Need

Vital Information

Full Name:

Date of Death:

Address:

Telephone Number:

Email Address:

Date of Birth:

City and Province of Birth:

Gender:

Father's Name:

Father's Birthplace:

Mother's Name:

Mother's Birthplace:

Mother's Maiden Name:

Marital Status:

Spouse's Name:

Spouse's Maiden Name:

Survivors' Names and Cities of Residence:

Relatives Who Have Preceded In Death:

Occupation:

Business Type:

Company Name:

Church Membership:

Lodge or Union Name:

Type of Service:

Visitation Hours:

Casket:

Person in Charge of Arrangements:

Officiating Clergy:

Pallbearers:

Flower Preference:

Music Selection:

Jewelry:

Glasses:

Casket Preference:

Disposition:

Outer Container Preference (for ground burial):

Cemetery Name:

Cemetery Location:

The Cemetery Property is in the Name of:

Miscellaneous Notes and Instructions:

Please select one of the options below:

Please send me information

Please contact me to schedule an appointment

Please place my information on file

Contact Us

Mackey Funeral Home Inc.

33 Peel Street, Lindsay, ON K9V 3L9

Phone: 705-328-2721

Email: info@mackeys.ca

Consumer Information Guide

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