4438 Dixie Highway
Louisville, KY 40216

Online Arrangement Form

You must call 502-449-9200 and speak with us at the time of need to report the death, prior to starting the arrangements on-line.


Name of Deceased - First Middle Last
Social Security Number of Deceased    
Date of Death    
Name of Purchaser    
Direct Cremation     View Our General Pricing List  
Select county
Additional Removal/Transfer $280.00  
Crematory Weight Surcharge
Shipping of Cremated Remains by certified mail $75.00  
Merchandise
Required Cremation Container (if over 300 lbs.) $150.00  
Engraved Name & Dates on Urn $35.00  
Engraved plate with Name & Dates $65.00  
Engraved Design (Military Branch, Cross, Praying Hands, etc.) $35.00  
Memorial Register Book $30.00  
50 Memorial Folders $50.00  
       
Total : $0.00    


Your Contact Information

First Name

Last Name

Billing Address



City

State

Zip

Your Email

Phone Number

Signature Pad:
Use your mousepad or touchscreen to sign here

Signature of Person making arrangement

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