Pre-Arrange

Enter your information (Person filling out this form) * = required fields
Name*
Address
City
State
Zipcode
Phone*
Best Time To Call *
Email

 

Enter information for the person who the pre-arrangement will be for:

Name*
Address
City
State
Zipcode
Phone
Email
Education
Date of Birth (ex. 1999)
Place of Birth
  County
 
Citizen
Marital Status
Father's Name
 
Mother's Maiden Name
 
Minor Children
Occupation
Type of Business
Religion
Church Affiliation
Cemetary Plot
Cemetary (If Yes)
City
State
Veteran
Branch of Military
Type of Service
   

 

Family member or person that will handle my funeral arrangements:

Relationship
Name
Address
City
State
Zipcode
Phone
Email
Final Comments
 
Enter Code
 

Clicking the submit button will send your information to the Dusckas Funeral Home.

 

About Dusckas

The founder of the Dusckas Funeral Home, Inc., Constantine "Gus" Dusckas, was born in Titusville, Pennsylvania, on July 22, 1915, the son of Greek immigrants. It has been noted that the Dusckas family had a close relationship with the Drake family of oil well fame. Because of the family's deep religious beliefs, young Gus got involved with many families who were in need and less fortunate.  read more...

Get in Touch

  • Phone:
    (814) 899 7656
  • Email:
    Email
  • Main Address:
    Nancy E. Dusckas: Supervisor
    2607 Buffalo Rd.
    Erie, PA 16510
  • West Side:
    Gary J. Cumming: Supervisor
    536 West 10th Street
    Erie, PA 16502