Memorial Services Form

Date

My Full Name

Date of Birth

Place of Birth City, State, Country

My favorite scripture to be read

My Favorite Hymns

I desire my burial to be

• Burial
• Cremation

I desire my casket to be

• Open Casket
• Closed Casket

I desire my memorial to be

• In the Church
• At mortuary
• Graveside Service only

If at Church/Mortuary: please specify name

I would like to be buried in this cemetery (name, city)

I would like flowersYesNo

I would like a memorial fund setupYesNo

If yes to a memorial fund, please specify

Please dress me in

I desire these men to be pallbearers

If possible, this minister

Salvation Testimony; details including scripture(s) used

The things I enjoyed in life

Places where I have worked

Military Service, including special honors

Hobbies

Other requests

Submit