funeral home and cremations in Milford CT

Pre-Arrangements Form - Milford, CT

Use this form to provide us with as much or as little detail as you wish.  At a minimum, provide us with your name and telephone number and tell us how you'd like us to work with you on the remaining information using the options at the base of the form.

Pre-Arrangement Details

Personal Information

Please use the area above to enter the names of siblings, children and grandchildren.

Work/Education History

Military Record

Funeral Service Request

Disposition Request

(if applicable)
(if applicable)
(if applicable)

Summary Details


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Contact Us


Cody-White Funeral Home
|
107 North Broad St
| Milford, CT 06460
|
Tel: 203-874-0268
|

| Directions

You are welcome to call us any time of the day, any day of the week, for immediate assistance. Call for an appointment to visit our facility.

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