82 Fairview Ave.
Naugatuck, CT 06770
Phone: 203-729-4334
Fax: 203-729-4336

Immediate Need

If you have immediate need of our services, we're available for you 24 hours a day 7 days a week.

Order Flowers

Offer a gift of comfort and beauty to a family suffering from loss.

Advanced Planning

A gift to your family, sparing them hard decisions at an emotional time.

Obituaries & Tributes

It is not always possible to pay respects in person, so we hope that this small token will help.

Funeral Preference Instructions

Please complete and submit the form below to securely leave your personal wishes with us.  Thank you.



Today's Date:

Current mailing address:

My preference is to be: Earth Burial Cremated Entombment Other, Specify

Interment in: Name: In (City and State):

I have An existing family plot An individual plot     Section: Lot: Purchaser's name:

I prefer: an Upright Headstone Flush Granite Marker Bronze Marker No Marker Engrave existing marker   Engraving needed:


I Prefer a: Wooden Casket Metal casket Cloth Covered Casket Cremation Casket

in the following price range: Above AverageAverage Price Below Average


I desire a: Public Services or a Private Service

I desire a: Traditional Church/Temple Service or a Funeral Home Service Memorial Service(without casket or cremains present)  Graveside Service Only


I prefer Calling Hours to be: Public or Private  Number of Hours:

I desire: No Calling Hours.


The Name and Place of my Place of Worship is:

I would like these reading and/or hymns:

I prefer the following media outlet for the Obituary:

I prefer:  Flowers, Preferred Florist:

              Memorial Donations, made to:

              In Lieu of Flowers, Donations made to:


I prefer Military Honors: No Yes N/A Not a Veteran

I have my Discharge paperwork(Certificate or DD-214): No Yes

I served in the:, During  Conflict/War.


If you have a copy of your Discharge paperwork and would like to send us a copy please email it to:


or mail it to us at

Buckmiller Thurston Mengacci Funeral Home

P.o. Box 553, Naugatuck, Ct 06770


Additional information that I would like to add:


Would you like to receive a confirmation email or phone call? yes No

If yes, please enter your email or phone number:
























52 Weeks of Support

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