You can always press Enter⏎ to continue
church
Funeral Form
We are sorry for your loss - please accept our deepest condolences. Please contact the Parish Office with any questions: (562) 296-9000. Fill and submit this form.
3
Questions
START
1
Information of the Deceased
*
This field is required.
Must have a Funeral Date confirmed - if unsure, please contact the Parish Office at: (562) 296-9010. Thank you.
Name of the Deceased
Funeral Date
Please Select
Yes
No
Please Select
Please Select
Yes
No
Is the Deceased a parishioner of St. Hedwig Catholic Church?
Previous
Next
Submit
Press
Enter
2
Person Requesting Funeral
*
This field is required.
Please provide the following contact information for the person requesting the Funeral. If you have any questions, please contact: (562) 296-9010.
First and Last Name
Please enter your email
Please enter your phone
Previous
Next
Submit
Press
Enter
3
Terms and Conditions
*
This field is required.
Previous
Next
Submit
Press
Enter
4
Funeral Payment
*
This field is required.
(Payment includes a 3% online service fee)
prev
next
( X )
Description
USD
+ OR enter a custom value
Payment Methods
Credit Card
First Name
Last Name
Cash App
After submitting the form, you will be redirected to the Cash App Pay to complete the payment process.
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
4
See All
Go Back
Submit