Contact Us
REQUEST FOR INFORMATION

You can e-mail this form, or print it and mail it to:

Brust Funeral Home
135 S. Main St.
Lombard, IL 60148

I would like to speak with a planning counselor regarding:
Preplanning my funeral Preplanning a funeral for a relative.
My options regarding cremation. How I can plan a funeral for my aging relatives and pay for it so that it can be an exempted asset if they have to go on Medicaid Public Assistance.
Other:
Name:
Address:
City, State, Zip:
Phone:
Birth Date:

E-mail Address:

Marital Status: Single Married Widowed Divorced
 
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