Funeral Request - THE REV. SCOTT A. FLEMING

FUNERAL Service REQUEST FORM

Contact's Information

* Indicates required field

Name of Contact *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Loved One's Name *

Email *

Loved One's Relationship *

Ceremony Type *

Formality *

Format *

Select One *

Ceremony Style *

Ceremony Options *

Communion / Lord's Supper (Requires altar) Military Honors

Will You Have Any Readings By Family or Friends? *

What Will the Readings Be and Whom Will Read Them (Name and Relationship)? *

Date of Service *

Venue Location *

Line 1

Line 2

City

State

Zip Code

Country

Celebrant's Attire *

The stole will be selected by the celebrant as appropriate.

Obituary *

Tell Us About Your Loved One (Information, Stories, etc) *

Submit