Member Services | Nazareth

Funeral Ceremony

Your Name*

Address*

City*

State*

Zip*

Your Phone No 1*

Your Phone No 2*

Email*

Are you a member of this church?

Yes | No

Funeral Information

Name of Deceased*

What was the death date?*

Was the deceased a member of this church?*

Yes | No

Proposed Funeral Date*

Proposed Funeral Time*

Start time

End time

How many people are you expecting for the reception?

Funeral Home Contact Information

Funeral Home Name*

Funeral Director's Name*

Address*

City*

State*

Zip*

Your Phone No 1*

Your Phone No 2

Email*

Funeral Needs

Do you need a minister to perform the funeral?

Yes | No

Do you need a musician for the funeral? *

Yes | No

Do you need special music for the funeral?*

Yes | No

Do you desire to have the reception at the church? *

Yes | No

Who will cater the reception?*

Caterer’s Phone #