Gympie Funerals - incorporating Cooloola Coast Crematorium and Lake View Memorial Gardens
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Our Coffin Range
Gympie Funerals stock a range of beautiful, modern coffins to suit all tastes and budgets. While we encourage you to visit us to make you final selection, you can also view them online
by clicking here.

Memorials & Plaques
If you'd like to erect a personal memorial or plaque to your loved one, we have an extensive range of memorials and plaques to suit all tastes and budgets. You can view them by clicking here.

Memorial Books
Memorial Books can create a personal, individual tribute to the passing of a loved one, as well as a cherished keepsake of their funeral. We have a range of beautiful memorial books, and you can see them here.

Floral Arrangements
Many people like to have flowers at a funeral. We work with Cooloola florists to do this. You can find out more about what's involved with floral arrangements by clicking here.

Funeral Notices
We can arrange for Funeral Notices to be published in local newspapers and broadcast on local radio for you at whatever rate those media charge us. But we also publish these notices at no charge whatsoever here
on our website

We're Proud Members
Gympie Funerals are proud members of the Australian Funeral Directors Association. When you arrange a funeral through us you're protected by the AFDA's Code Of Ethics. Find out more about the AFDA
by clicking here.

Arrange A Funeral Online
You can arrange a funeral by completing the form below and then clicking the button.

Most of the questions we ask on this form are a legal requirement for death registration. But some others are optional.
 
If you don't have all the information we ask for at the present time, you should complete what you can and we'll work with you to complete the remainder.

The five minimum items of information we're required to collect are marked with a red asterisk*.

  Details Of Deceased:
*Deceased's Full Name: 
*Deceased's Date of Birth: 
*Deceased's Place of Birth: 
*Deceased's Address: 
Date of Death: 
Place of Death: 
Deceased's regular doctor: 
Occupation during working life: 
Father's Full Name: 
Father's Occupation: 
Mother's Full Name: 
Mother's Maiden Name: 
Mother's Occupation: 
Where Married - 1st: 
At What Age? - 1st: 
To Whom? - 1st: 
Where Married - 2nd: 
At What Age? - 2nd: 
To Whom? - 2nd: 
Where Married - 3rd: 
At What Age? - 3rd: 
To Whom? - 3rd: 
Year arrived in Australia?: 
Aboriginal/Islander? (Yes/No): 
Yes   No
Marital Status: 
Never Married   Married   Window/er   Divorced
Spouse died? (where & when): 
Pension Number: 
Veterans Affairs Number: 
Medicare Number: 
Send Death Certificate to: 
(name and address) 
  Children's Information:
1st child christian names: 
Date of birth: 
2nd child christian names: 
Date of birth: 
3rd child christian names: 
Date of birth: 
4th child christian names: 
Date of birth: 
5th child christian names: 
Date of birth: 
6th child christian names: 
Date of birth: 
7th child christian names: 
Date of birth: 
8th child christian names: 
Date of birth: 
9th child christian names: 
Date of birth: 
10th child christian names: 
Date of birth: 
11th child christian names: 
Date of birth: 
12th child christian names: 
Date of birth: 
  Information about your funeral preferences:
Burial or Cremation: 
Cemetery/Crematorium of choice: 
I wish the cremated remains to be: 
Religion: 
If church service, Church: 
Do you want flowers on the coffin?: 
Yes   No
Further instructions or requests: 
Name & address of Next of Kin 
or Executor: 
  Authorisation:
Name and address of the person 
completing this form: 
Preferred contact person: 
Relationship to the deceased: 
Date: 
*Telephone number: 
Email address: 
Any additional comments: