779 N. Riedel P.O. Box 1046 Yorktown, TX 78164 | Tel: 1-361-564-2900 Email: masseyfh@att.net

Pre-Arrangements Form


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.

For more information about pre-planning funeral arrangements in the State of Texas, please visit http://www.prepaidfunerals.texas.gov/.

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

© 2018 Massey Funeral Home. All Rights Reserved. Funeral Home website by CFS