Funeral Information Form
FUMC Pensacola | Mici Kuba
Name of Deceased:
Family Contact:
*
First Name
Last Name
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email
*
example@example.com
Type of Service
Funeral
Memorial
Minister:
*
Musician
Hostess:
Funeral Home Assisting
Visitation- One Hour and Fifteen Minutes Before Service
Family Only
Open to Public
No Visitation
Requested Date
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Venue
*
Main Sanctuary
Chapel
ICON Sanctuary
Columnbarium
Florist:
Flowers will be...
Service
Reception
Service to Reception
Donated to Flower Ministry
Items Needed
Easel
Bulletin
Urn Pall
Back
Next
Submit
Requesting Reception (Facilities Director will contact family if reception is requested)
Please Select
No Reception Requested
Cookies and Punch
Meal or Robust Menu
Reception Contact, if different that above
First Name
Last 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?
No
Yes
Additional Information
Should be Empty: