Remember Them - Friar's Bury

Remember Them.........

Friar's bury......
Please complete all sections of this form before submitting this request to the HNP Office of Development. Please contact David Convertino, OFM at 212-564-8834 or Ed Chaudron at 212-564-8854 if you have any questions.
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Friar Contact*

First NameLast Name
Contact Phone

Area CodePhone Number
E-mail
Ministry Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Deceased

First NameLast Name
Date of Death

MonthDayYear
Date
Briefly Describe Life and Death Details
Funeral Home Name:
Funeral Home Contact
Funeral Home Phone

Area CodePhone Number
CHECKS WILL BE MADE PAYABLE TO AND MAILED TO THE HNP FRANCISCAN FRIARY INVOLVED IN THE REMEMBER THEM PROGRAM
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