Details of person completing the Arrangement form
Deceased Person's details
Current Marital/Civil Partnership Details
If widowed, divorced or in a de facto relationship, answer No.
Place of union, Age at time, Partner's first names, Partner's
surname (at time of event)
If more than 10 children, please contact our office.
I, the Authorised Person noted above, hereby certify that I am legally
entitled to give the above instructions and indemnify Michael Hutchinson
Funeral Director from any legal proceedings resulting from my not being
the person legally entitled to give the above instructions.
I agree to pay Michael Hutchinson Funeral Director the agreed full payment
at least 24 hours before the funeral occurs only by credit card or electronic
THE PAYMENT CAN ONLY BE MADE BY CREDIT CARD BY CALLING 3273 1399 OR ELECTRONIC
TRANSFER TO OUR BANK ACCOUNT -
WESTPAC ACCOUNT BSB 032-044 ACCOUNT NUMBER 772711
AND NOT BY MAIL OR IN PERSON.
PLEASE BE AWARE THAT WE DO NOT BILL SOLICITORS, TRUST OFFICES OR ANY OTHER