Copy and paste the questionnaire into an email window: that will make it possible for you to answer the questions. Then return to me at: email@example.com
Name of Deceased:
Birthplace: Last Residence:
Date of Birth: Date of Death
Church Affiliation, if any:
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