Chapey & Sons Funeral Home - West Islip, East Islip, Bethpage, New York

Choosing to preplan provides you with the opportunity to protect yourself against unforeseen costs, as well as protecting your family against making difficult arrangement and financial decisions during an emotionally stressful time.

In selecting a comprehensive preplanning package, your specific arrangement requests will be documented in detail and kept on file, available for activation at the time of need.

Choosing to make the arrangements yourself not only allows you to exercise your best judgment and consider the advice of family members, it allows you to properly manage the situation, financially and emotionally.

To begin preplanning online, please fill out the form below:

* Required field

* Last Name:
* First Name:
Middle Name:
* E-mail:
* Address:
* City:
County:
* State:
* Zip Code:
Phone:

Marital Status: Social Security#:
Date of Birth: Place Of Birth:
Spouse's Name: Spouse's Maiden Name:
Place of Marriage: Date of Marriage:
Father's Name: Mother's Name:
Mother's Maiden Name:

Education (0-12):
College 1-5+:
Occupation:
Business:
Company:

Branch of Service: Serial Number:
Date Enlisted: Rank At Discharge:
Date Discharged: Discharge On File At:
Copy of Discharge Papers: Yes No
Name Of Wars:

Place Of Service:
Funeral Home:
Address:
Phone:
Place of Visitation:
Religious Denomination:
Place Of Worship:
Lodge / Union:
Person in Charge of Final Arrangements:

Flower Preference:
Music
Casket Bearers (6):

Jewelry:
Glasses:
Clothing:
Other:

I Prefer:
Cemetery:
Address:
Phone:
Section:
Location:
I have made a last will and testament: Yes No

Please list any other instructions you may have:

Please list any Memorials or Donations to Charity that you would like:

Please select one of the options below:
Send information about pre-arrangement
Contact me to set an appointment
Please keep my information on file