Funeral Service Request Form
Please complete the information request form below to get connected to a pastor. If Ascent Church is the desired location for the service, it must be scheduled on a Monday-Thursday between 9am and 5pm and a cleaning service fees will apply.
Funeral Service Point of Contact (P.O.C.)
*
First Name
Last Name
P.O.C. Phone Number
*
Please enter a valid phone number.
P.O.C. Email Address
*
example@example.com
Name of Deceased
*
First Name
Last Name
Link to Obituary
Funeral Service Date
*
/
Month
/
Day
Year
Date
Funeral Service Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Funeral Service Location
Name of Facility
Street Address
City
State / Province
Postal / Zip Code
Special Requests/Considerations for Funeral Service
Submit
Should be Empty: