Father Mike's Ministry

Serve the Lord with Gladness!

Funeral Questionnaire

[Please provide the following information and return to me at:  [email protected]

Name of Deceased:

Birthplace:                                          Last Residence:

Date of Birth:                                         Date of Death

Parents' Names:

Spouse:

Children:

Siblings:

Church Affiliation, if any:

Community Involvements:

Hobbies:

What memories do you treasure and would like to share about the deceased?

Funeral Home in charge of arrangements [include address, phone]:

Name, phone, e-mail address of contact person for this information 

 

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