Jack and Thompson Funeral Home

318 Main Street, East

Shelburne, ON L9V 2Y9

Phone: (519) 925-2830

Fax: (519) 925-1105

Email: jackandthompsonfuneralhome@rogers.com

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Why Come to Us?

Funeral Planning

Grief & Healing

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Flowers

Order Flowers

Ordering flowers from our site ensures that your order will reach us or the family in a timely manner, and your gesture of support will remain acknowledged in the Book of Memories for future generations. We only work with local florists so we can maintain the sense of urgency and quality of your selections. We thank you for helping to support the family during their time of need, and will fondly remember your kind gesture.

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Immediate Need

If you have immediate need of our services, we're available for you 24 hours a day.

Pre-Arrangement

A gift to your family, sparing them hard decisions at an emotional time.

Obituaries & Tributes

It is not always possible to pay respects in person, so we hope that this small token will help.

Order Flowers

Offer a gift of comfort and beauty to a family suffering from loss.

Online At-Need Funeral Planning

You can get a head start on the process by completing as much of this online form as possible. We recognize you may not know everything right at this moment, but what you do know will be invaluable to your Funeral Director. Submitting this form will surely expedite the funeral arrangement process.

I. Biographical Information
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number:	(xxx-xxx-xxxx)
Email Address:
Date of Birth:	(month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:

Social Security Number:	For security reasons, we will contact you to complete the pre-arrangement.
Residence History:	Enter Text Here...
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence	Enter Text Here...
Relatives Who Have Preceded In Death	Enter Text Here...
Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:
II. Military Record
Veteran:
Branch of Service:
Serial Number:
Date Enlisted:	(month/day/year)
Date of Discharge:	(month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):	Enter Text Here...
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:
III. Service Preferences
Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:	List Clergy Here...
Pallbearers:	List up to eight pallbearers
Flower Preference:	Enter Flower Preference...
Music Selection:	Enter 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: Enter Text Here...
Please select one of the options below: Please send me information Please contact me to schedule an appointment Please place my information on file

365 Days of Healing

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