Please ensure Javascript is enabled for purposes of website accessibility Pre-Arrangements Form | Lieber Funeral Home | Valley Stream NY funeral home and cremation
site image

266 North Central Ave.

Valley Stream, NY 11580

 Tel: 1-516-825-2900

      Email: info@lieberfuneralhome.com

site image

Pre-Arrangements Form

|
|

Use this form to provide us with as much or as little detail as you wish.  At a minimum, provide us with your name and telephone number and tell us how you'd like us to work with you on the remaining information using the options at the base of the form.

Pre-Arrangement Details

Personal Information

Please use the area above to enter the names of siblings, children and grandchildren.

Work/Education History

Military Record

Funeral Service Request

Disposition Request

(if applicable)
(if applicable)
(if applicable)

Summary Details

local_florist

© 2024 Lieber Funeral Home. All Rights Reserved. Funeral Home website by CFS & TA | Terms of Use | Privacy Policy | Accessibility