Celebration of Life Information

Providing the information requested on this form is purely voluntary – it is included in your New Member/Friend packet simply because this is the most opportune time to gather information from you about your final wishes. While filling out this form may cause you some discomfort, these are questions we all need to face, never knowing when or where one's demise may occur. Having this information available for our Minister can help reduce the confusion if/when it should occur.

Name

This address will receive a confirmation email

Address

Home Phone

Cell Phone

Service Arrangements

What type of service do you wish (Funeral for burials, Memorial Service for cremations)?

Please select one option.

Funeral Memorial

Service Details

Please select all that apply.

Viewing at mortuary before service No viewing at mortuary before service Open casket at service Closed casket at service Service at our church Service at a mortuary (1) Committal ceremony at the grave Buried at cemetary (2) Private burial followed by a memorial service at our church at a time convenient for those concerned Body to be cremated and ashes disposed of by crematorium Body to be cremated and ashes buried (3) I made arrangements to donate my body to medical research (4) I made arrangements for any usable body organs to be donated (5)

(1) Name of mortuary

(2) Name of cemetary

(3) Name of cemetary

(4) Name and phone number of contact

(5) Name and phone number of contact

If you are a member of the Memorial Society, please complete these next 2 fields. If not, information is available in the Church Office.

Date you joined

Amount you paid

Service Requests

Special music

Special poetry/readings:

If people wish to make memorial contributions, what organizations?

Special people you would like to participate

Any other comments

Celebration of Life Information

Description

Please Fix the Following