J.M. White Funeral Home
J.M. White Funeral Home
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Planning ahead is a wonderful way to help your loved ones celebrate your life at the time of your death without worry and confusion. J.M. White Funeral Home offers several possibilities for you to assure all the details of your service are just as you desire. We can meet with you at your convenience by appointment, or on a walk-in basis to discuss pre arrangements, pre payment and pre need options.

There are numerous advantages to addressing the issues surrounding funeral plans while our clients are able to make those decisions for their self. Pre planning allows the person making the arrangements to share their desires and preferences with family and funeral home staff to assure that the service is just as the deceased wants. This alleviates the need for saddened survivors to make difficult decisions at the time of death. It also decreases the chance for ill will among family members who may disagree about these decisions. Paying in advance for the services that are pre arranged allows for the majority of the funeral bill to be satisfied before services are rendered.

Personal Information
Full Legal Name


Email Address
Spouse’s Name
Spouse’s Maiden Name
Father’s Name
Mother’s Full Maiden Name
Church Affiliation
Family Contact other than spouse
Education History
Highest Grade Completed
Years of College/Graduate School
Work History
Company Name
Business Field
Military Service
Did you serve in the military? Yes No
Branch of Service
Date of Enlistment
Date of Discharge
Service Requests
Place of Service
Place of Visitation
Memorial Contributions
Person in charge of final arrangements
Disposition Request
Burial Cremation
Do you wish to be viewed in the casket? By family By family and others
I have a will Yes No
I have life insurance Yes No
Other Information
Please include in this space any specific instructions you would like for our directors to know that you feel would help us assist you in planning your arrangements. Examples of this information include: specific clothing and jewelry choices, special persons to officiate in your service, or particular music you wish you be played.
Contact Me
I wish to be contacted by phone Phone Number
I wish to be contacted by email Email

Please submit this form by clicking on the submit button below, or fax this form to 252-438-8465. Click here to print out this form.

      Compassionate, professional care 
for families when they have lost a loved one.   North Carolina Funeral Directors 

J. M. White Funeral Home

J. M. White Funeral Services, Inc.
60 Zeb Robinson Road
Henderson NC 27536
(252) 438-5139
© 2013 NCOL