Direct Burial

Name: _______________________________

Reset

Price Guaranteed

Roseberry’s Funeral Home Wisconsin Funeral Trust Irrevocable Preneed Funeral Contract Service Package Selected

Funeral Service Package “Burial”

Traditional Cremation Package Price $1,595.00 Direct Burial Package Basic Service of Funeral Home & Staff, Basic Service of Funeral Home & Staff, removal from Removal, Otherpaperwork, Preparationand of the Body,arrangments Embalming place of death, making Visitation, Funeral Service, Lead Van, Hearse, for burial. (please note items not included: embalming - $525, hearse - $350, Graveside Service Stationary Package,

Cash Advance Items ✔ I understand that the following items are not price guaranteed Grave Opening

Last Date

$400.00 $125.00

- $225. These services can be added by listing them below.

Merchandise: Casket: Cremation Container Vault:

$35.00 $535.00

Funeral Charges

$2,165.00

Total Cash Advances

Funeral Home Charges (Services, Transportation, and Merchandise) Cash Advances Total Purchase Amount Amount Paid

Contract Purchaser Date First Name Last Name SS Number Birth Date Mailing Address City, State, Zip Phone Purchaser Signature___________________________________________ I hereby certify that I have read the terms and conditions of this contract and agree to be bound thereby and acknowledge receipt of a completed copy of this contract.

$525.00

$2,165.00 $525.00 $2,690.00

Beneficiary (IF OTHER THAN PURCHASER) Date First Name Last Name SS Number Birth Date Mailing Address City, State, Zip Phone FD Signature_________________________________________________

Roseberry’s Funeral Home 512 Main St. POBox 620 Friendship, WI 53934 608-339-3551