Regency Funeral Home, Malvern, AR
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In Time of Need
Make Arrangements
Make Arrangements

Basic Planner: Plan Information
_____ Arrangements _____
1
Name
Information
2
Initial
Choices
3
Final
Disposition
4
Choose
an Option
5
Overview /
Confirmation
Plan Information
  Bold fields are required
General information
I am planning for my:

Information about the person for whom this plan is written
First Name:
Middle Name:
Last Name:

Your information
First Name:
Last Name:
Phone:
E-mail:

User information
A username and password grants you access to your plan at anytime
User Name:
Password:
Confirm Password:

 

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