phone: 920.468.4111 or toll-free: 800.750.4222

Pre-Arrangement

Pre-arrangement can be as easy as filling out this form and submitting it, or printing a copy, completing, and mailing it to:

  • Proko-Wall Funeral Home
  • Attn: MarLynn
  • 1630 E. Mason St.
  • Green Bay WI 54302

800.750.4222

Please complete to your level of comfort.

Personal Information
Name (First/Middle/Last):*
Email Address:*
Address:
City:
State:
Zip:
Birthdate:
Birthplace:
Family
Spouse/Partner's Name (Maiden) :
Father's Name:
Mother's Maiden Name:
Education/Career
Education Level Completed (1-17):
Occupation:
Industry:
Military Service
Branch:
War(s):
Enlisted:
Discharged:
Religious Affiliation
Faith:
Place of Worship:
Final Resting Place
Cemetery:
County:
Address:
City:
State:
Disposition:
Preferred Service Type