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Ashland | 1-570-875-1680              Elysburg | 1-570-672-8660            Mount Carmel | 1-570-339-4960

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Pre-Arrangement 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)
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(if applicable)

Summary Details

Send Us a Message

Contact Us

You are welcome to call us any time of the day, any day of the week, for immediate assistance. Or, visit our funeral home in person at your convenience.

Our support in your time of need does not end after the funeral services. Enter your email below to receive a grief support message from us each day for a year. You can unsubscribe at any time.

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Areas We Serve

We proudly serve families in the Ashland, Girardville, Lavelle, Gordon, Locustdale, Elysburg, Mt. Carmel, Ralpho Township and all of Northumberland, Schuylkill, Columbia and Montour County, but we are here to help where ever you may need us. 


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