Beck Funeral Home, Inc.

315 East Main Street

Supervisor: Randy L. Stoltzfus

New Holland, PA 17557

Phone: (717) 354-2227

Fax:

Email: lbender@beckfuneral.com

Immediate Need

If you have immediate need of our services, we're available for you 24 hours a day.

Obituaries & Tributes

It is not always possible to pay respects in person, so we hope that this small token will help.

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Offer a gift of comfort and beauty to a family suffering from loss.

Pre-Arrangement

A gift to your family, sparing them hard decisions at an emotional time.

Immediate Need

I. Biographical Information
Full Name:
Date of Death:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number:	(xxx-xxx-xxxx)
Email Address:
Date of Birth:	(month/day/year)
City of Birth:
State of Birth:
Highest Education Level:
Please select Grade/Years of Education completed:

Social Security Number:	For security reasons, we will contact you to complete the pre-arrangement.
Residence History:	Enter Text Here...
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence	Enter Text Here...
Relatives Who Have Preceded In Death	Enter Text Here...
Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:
II. Military Record
Veteran:
Branch of Service:
Serial Number:
Date Enlisted:	(month/day/year)
Date of Discharge:	(month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):	Enter Text Here...
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:
III. Service Preferences
Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:	List Clergy Here...
Pallbearers:	List up to eight pallbearers
Flower Preference:	Enter Flower Preference...
Music Selection:	Enter Music Selection...
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:
Miscellaneous Notes and Instructions: Enter Text Here...
Please select one of the options below: Please send me information Please contact me to schedule an appointment Please place my information on file

52 Weeks of Support

It's hard to know what to say when someone experiences loss. Our free weekly newsletter provides insights, quotes and messages on how to help during the first year.

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Beck Funeral Home, Inc.

Order Flowers

Immediate Need

Obituaries & Tributes

Order Flowers

Pre-Arrangement

Immediate Need

52 Weeks of Support