Peck Funeral Homes - Funeral Services

With malice toward none, with charity for all, with firmness in the right as God gives us to see the right, let us strive on to finish the work we are in, to bind up the nation's wounds, to care for him who shall have bourne the battle and for his widow and his orphan, to do all which may achieve and cherish a just and lasting peace among ourselves and with all nations."

( Second Inaugural Address ) President Abraham Lincoln

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To view the Peck Funeral Services General Price List,
Please contact us for the code at (781)843-0890.

The Peck Funeral Home respectfully towards its Families as well as its own Family does not perform services on National or Religious Holidays

Pre-Arrangement Service
Pre-arrangements provide peace of mind and allow for cost savings, especially as interest rates and inflation are both increasing again.

Know the Facts
FACT
The death of a loved one is a tragedy every household experiences.

FACT
Most families will find themselves poorly prepared to deal with the problems, indecisions, and costs a death forces on them.

FACT
The decision to prearrange your cemetery or funeral needs today is very economically sound, although the strongest reasons to prearrange are love and peace of mind.

Benefits of Pre-arrangement
1. Peace of Mind

When a death occurs in any family or among friends, the grief is tremendous and the healing time very long. Prearrangement will have a positive impact on your family and friends simply because you have made your own decision. This peace of mind provides benefits far beyond the dollars spent.

2. Satisfaction

On a prearrangement basis, a family burial estate and/or funeral merchandise can be selected by all family members, thus guaranteeing everyone's satisfaction.

3. Price-Freezing

Based on the last five decades, we know the cost of cemetery and funeral arrangements will continue to increase. Prearrangement allows the costs to be frozen at todays prices.

4. Conserves Insurance

Life insurance is for the living, not the deceased. Most life insurance is purchased to allow a family time to adjust to the loss of income that a death causes. If prearrangements are not made, a large amount of insurance proceeds can be spent on cemetery and funeral items adding financial burdens to loved ones left behind.

5. Payments

Funeral and memorialization costs are expenses every individual must plan to pay. These needs can be met today out of current income through budget payments. Payment at the time of death is traditionally made on a cash basis.

6. Togetherness

A husband and wife can share their choices and decide together, therefore saving loved ones heartache, expense and inconvenience at the time of death.

Advantages of Prepaying

By paying in advance you may:
1. Ensure that money is available for your funeral service.

2. Provide peace of mind if you have no others to make final arrangements. And to set aside necessary funds to complete the payment for those arrangements.

3. Set funds apart from other assets if you apply for certain social benefits.

You Have Only Two Choices
1. You can prearrange your family estate before death enters your home.

2. You can wait until death forces you to make cemetery and funeral arrangements

Pre-planning gives people peace of mind.

If you are ready to begin the pre-planning process,
give us a call at (781) 843-0890 or fill in the form below.

You may fill out as much information as you can for this page, but we
will gather the rest later on. This is to help you complete the pre-arrangements,
and most of this information is for use on the death certificate and
for the arrangements of the funeral at the time of passing. If you do not have all
the information right now, that is fine.

Personal Information

Pre-need Recipient:

	First	MI	Last

Address:

Street

City	State	Zip	County

Date of Birth:

Sex:

Male	Female

Place of Birth:

City	State	Country

Marital Status:

Spouse's Maiden Name:

Spouse's Full Name:

	First	MI	Last

Social Security #:

Social Security Number now must be confirmed, either with
government issued document or with a valid Social Security
card. This is a legal requirement for the death certificate
and must be stated perfectly correctly.

**Military Information**
Branch of Service:		Serial Number:
Date Enlisted:		Rank At Discharge:
Date Discharged:		Discharge On File At:
Copy of Discharge Papers: Yes No
Name Of Wars:
Person in Charge:
Address:
Phone:
Insurance Information:

Work/Education History

Total years of education (K-12 and College):

Last School Graduated From:

full name of High School/College/Graduate School

Primary Occupation:

Years in that Occupation:

Primary Company worked for:

Company Name	City	State

Doctor:

Doctor's Full Name	Location

Primary Care Physician Attending Physician

What medical condition (for the death certificate) are they suffering from:

`a.`	Heart Disease	`e.`	Stroke
`b.`	Cancer (all types)	`f.`	Communicable Disease
`c.`	Alzheimers or dementia		(AIDS, Hepatitis, Flu, tuberculosis as examples)
`d.`	Traumatic Accident	`g.`	Debilitating Disease (Polio)

Informant Information

Your Full Name:

	First	MI	Last

Address:

Street			Apt.

City	State	Zip

Work/Office Phone:

Home Phone:

Cell Phone:

E-mail address:

**Family Information**
Father's Name:		Mother's Name:
Mother's Maiden Name:
Brothers (eldest to youngest):		Sisters (eldest to youngest:
Children (eldest to youngest):
Names or total number of grandchildren:
Names or total number of great-grandchildren:

**Newspaper Information**
Name of Newspaper to contact	Days in each paper
Boston Globe
Quincy Patriot Ledger
Brockton Enterprise
Boston Herald
Cape Cod Times

Church and Clergy Information

Church Name and Complete Address:

Church Name

Street

City	State	Zip

Full Name of Participating Clergy
(Minister, Priest, Rabbi, Cleric):

Full name of Cemetery for Burial and its Address:

Cemetery Name

Street

City	State	Zip

Lot and Section Number for Burial

**Funeral Service Request**
Up to 6 pall bearers family will provide:
Up to 5 musical selections:
Flower Preference:
Names, locations and telephone numbers of all: Unions or Trade organizations Professional affiliations Civic Groups Clubs or Hobbies Religious Groups Other groups
Charity family wishes donations to go to:

**Other Instructions**

**Please select one of the options below**
Send information about pre-arrangement Contact me to set an appointment Please keep my information on file

PLEASE NOTIFY your relatives, neighbors and friends of the fact you have made a pre-arrangement with our funeral home and give them our name, street address and telephone numbers. This will assist your family in the time of need to be able to handle the arrangements with promptness and help reduce confusion at a very difficult moment.

~Sincerely, the Staff of Peck Funeral Homes.

Our family plot in New Hampshire

International Cemetery and Funeral Association

It is recommended that you buy a plot at the cemetery of your choosing now when you do your pre-need. Each year there are less plots available around New England.

www.nfda.org

If you want to be or have a situation needing to donate an
organ call 1-800-446-6362 before contacting the funeral home.
"Use of this Web site other than for its intended lawful
purpose is strictly prohibited and is punishable by law.
This includes misrepresentation of facts and any form of harassment."

We at Mortimer N. Peck, Inc. take your right to privacy very seriously. We have not nor will ever consider giving out your information including name, address, social security, or date of birth information to any third party without your express knowledge and agreement. The only time that information is used is in the development of our file and of the necessary completion of legal documents which you and/or your family needs. This is our guarantee of privacy of your information to you by us.

E-mail: info@peckservices.com

We accept Visa, Mastercard, Discover Card, and American Express as part of our payment options