TRINITY PRESBYTERIAN CHURCH : Funeral Request Information

Name of Deceased

Name

Date of Birth

Date

Date of Death

Date

Name of Immediate Family

Family

Children

Parents (if alive)

Service Information

Date of Funeral Service

Request for Church Sanctuary

Yes/No

Yes No

Name of Funeral Home

Address

Visitation (Viewing) Date and Time

Viewing Time

Place of Interment

Location

Date

Church Request

Yes/No

Yes No

Pastor

Yes/No

Yes No

Name

Organist/Musician (not available)

Soloist

Yes/No

Yes No

Name

Additional Information

Short Answer

Primary Contact

Name

Phone Number

TRINITY PRESBYTERIAN CHURCH