Funeral Information Form

Funeral Information Form

FUMC Pensacola | Mici Kuba
Name of Deceased:
Family Contact:

First NameLast Name
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Contact Email
example@example.com
Type of Service
Minister:
Musician
Hostess:
Funeral Home Assisting
Visitation- One Hour and Fifteen Minutes Before Service
Requested Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Venue
Florist:
Flowers will be...
Items Needed

Requesting Reception (Facilities Director will contact family if reception is requested)
Reception Contact, if different that above

First NameLast Name
Reception Contact Phone Number, if different then above
Please enter a valid phone number.Format: (000) 000-0000.
Does deceased have a columbarium niche?
Additional Information
Should be Empty: