Funeral Arrangement

Bereavement Care Form

Please complete the form below. The information will be sent to the Administrative Office and you will be contacted about your request. All information is kept confidential. On behalf of Friendly, and Rev. Michael F. Jones, Sr., our condolences is with you and your family in your time of sorrow.
COVID-19 Update

Due to COVID-19 some restrictions may apple according to County and City ordinances. We apologize fo any inconvenience this may cause. Please contact our office at 314.367.9700 for additional details.
Date *

Month Day Year
Today's Date
Name of Deceased *

First Name Last Name
Date of Death *

Month Day Year
Date
Member of Church *

Yes No
Ministry Affiliation *
Member Status
- 5-Active member working in a ministry, tithing & contributor
- 4-Active member attends a teaching ministry, contributor but not tithing
- 3-Active member serving on no ministry, contributor & tithing
- 2-Active member serving on a ministry, non-contributor
- 1-Joined church not attending regularly, non-contributor, inactive due to illness/nursing home
- 0-Inactive due to unknown reasons, out of state
Member Status
Relationship to the Deceased *
Spouse of, Child of, Mother of, etc.
Immediate Contact Person *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone *

Area Code Phone Number
Alternate Phone *

Area Code Phone Number
Funeral Home/Director *
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Visitation Arrangements
Date *

Month Day Year
Date
Time *

: Hour Minutes AM/PM Option
Until
until : Hour Minutes AM/PM Option
Location *
Funeral/Memorial Arrangements

(Copy of Program/Obituary required prior to printing subject for approval)
Date *

Month Day Year
Date
Time *

: Hour Minutes AM/PM Option
Until
until : Hour Minutes AM/PM Option
Location *
Burial Location *
Complete the following if services are being held at Friendly.
The body will be brought to the church at (date) *

Month Day Year
Date
The body will be brought to the church at (time) *

: Hour Minutes AM/PM Option
Special music requests? *
Additional requests? *
Repast services requested? (Members Only) *

Yes No
Number to be served (Max. 75-100) *
All Non-Member Cost must be approved and a fee required
- Services for non-members ($500) to pay for the use of facility.
- Use for Repast facility at an additional charge. ($150)
- Special circumstances with Pastor’s approval.
Additional Comments or Notes:

Entrance & Parking for the family
- Entrance & exit through front of the FLC
- Seating the second section on the east side
Entrance & Parking for the team
- Team will park on the east parking lot (Belt Side)
- Enter & exit through the North & South Doubled doors (Belt Side)
- The team will set in the first east section
Secure/Block
- Belt side parking lot
- The small west parking lot
- Front of FLC
Repast
- Youth Worship Center Fellowship Hall/Gym
- Set-up of Fellowship Hall/Gym (FTMBC Maintanance Staff)
- Catering Company - Family Request
Friendly Temple Bereavement Brochure

Feel free to download our Bereavement Brochure
Should be Empty:

Bereavement Care Form

COVID-19 Update

Friendly Temple Bereavement Brochure