Ministers' Conference - In Memorium Submission Form

Welcome,

Since our last gathering, many faithful conference supporters have transitioned from earth to heaven. We would like to pay tribute to the faithfulness of our deceased ministers and psalmists, honoring that their work is completed on behalf of the Kingdom.

Please complete one form for each individual in its entirety.
Name*

TitleFirst NameMiddle InitialLast NameSuffix
Email
example@example.com
Date of Demise*

MonthDayYear
Date
Church Name*
Church City*
Church State*
Please verify that you are human*
If you have any questions or concerns, please contact the Office of the Chaplain by email at debra.haggins@hamptonu.edu, or by phone at 757-727-5340.
Should be Empty: