4438 Dixie Highway
Louisville, KY 40216

Online Arrangement Form

You must call 502-469-5077 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      
Select county
Additional Removal/Transfer $280.00  
Crematory Weight Surcharge
Shipping of Cremated Remains by certified mail $150.00  
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




Your Email

Phone Number

Signature Pad:
Use your mousepad or touchscreen to sign here

Signature of Person making arrangement

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