Funeral Service Preplanning Form

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You can print this form from our website, but if you prefer to have a copy without the website headings, please call the church office (703) 356-3042.

The following preferences are made by the undersigned with recognition that the officiating clergy must be consulted regarding the appropriateness of family requests.

Hymns
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Scriptures
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Flowers
_____________________________________________________________________ _____________________________________________________________________
Memorials to be directed to:
_____________________________________________________________________ _____________________________________________________________________

Preference for Remains
_____________________________________________________________________ _____________________________________________________________________

Other Preferences or Special Requests:
_____________________________________________________________________
_____________________________________________________________________

Person(s) to whom this information has been given:

Name Address Telephone
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________


_____________________________________________________________________ Name                                                                                                                        Date

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