Celebrate and share God's GRACE

Funeral-Memorial Service Form

Name of Deceased:

Date of Birth:

Date of Death:

Name of Contact:

Relationship to Deceased:

Phone #:


Name of Funeral Home if applicable:

Contact at Funeral Home:

Type of Service:
Date of Service (subject to availabity):

(check calendar for sanctuary and fellowship hall)
Time of Service:

Name of Pastor/s Officiating: