Your browser does not support script
Pre-Need Information
Wallace Funeral Home
Locations
Barboursville, WV FAMILY OWNED & OPERATED
Milton, WV FAMILY OWNED & OPERATED
Pre-Need Information
Online Contact Form
Obituaries
Melissa Dawn Salmons 1973-2024
Deborah Lynn Nelson 1952-2024
Lereen Adkins 1935-2024
Gregory Allen Mays 1957-2024
Shelly Kilgore 1984-2024
More >>

Click Here to Search Wallace Funeral Home Obituaries
Links Of Interest
Tri State Wilbert Vault
DISTRIBUTOR OF WILBERT VAULTS
WILBERT BURIAL VAULTS
FOREMOST IN BURIAL VAULTS

TFM Links
Home
Obituaries
Memorials
Locator
You Should Know
Our Goals
Contact Us

Wallace Funeral Home
Barboursville, WV FAMILY OWNED & OPERATED

Barboursville, West Virginia 25504
Phone: (304) 736-3431
Fax: (304) 736-3469
Contact us with questions and comments
Web Site: http://www.timeformemory.com/wallace

Pre-Need Online Application.


Step 1 Biographical Information


Step 2 Arrangement Information

Full Name
(First MI Last):
Marital Status: Social Security#:
Date of Birth: Place Of Birth:
Address:
City: State:
County: Zip:
Phone: E-mail:
Spouse's Name: Spouse's Maiden Name:
Place of
Marriage: 		Date of Marriage:
Father's Name: Mother's Name:
Mother's Maiden Name:

Work/Education History
Education(0-12): College 1-5+:
Occupation:
Business: Company:

Military Record
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: