Planning Your Funeral

If you would like to pre-plan your own funeral service, please fill out this form. The church will keep a copy on file and send you a hard copy. This information will be kept private and only disclosed to the people you list below.

If you need to schedule a funeral, email funeralrequest@44life.com.

Your name *

Email address *

Phone number *

Address *

Birthdate *

Social Security # (optional)

List of relatives and friends who should be notified in the event of your death with contact information. Please indicate the primary contact. *

Where would you like your service to be held? *

Church

Funeral Home

Other

Cemetery plot purchased? *

Who would you like to officiate at your funeral? *

Please include contact information.

Do you have any particular Scripture passages you would like to have read? *

What special music would you like to have (specify singers/musicians and songs)? *

Please include contact information if listing specific people.

Preferred pallbearers: *

Please include contact information.

Church membership/baptism/confirmation: *

Location, dates, etc.

Are you trusting in Jesus Christ for the forgiveness of your sins and hope of eternal life? *

What clothes would you like to be wearing? *

Do you have a will? *

Do you have a preferred real estate agent? *

If so, please include contact information.

Do you have a preferred florist? *

If so, please include contact information.

Do you have a preferred attorney or lawyer? *

If so, please include contact information.

Personal belongings marked for distribution following death? *

Please include contact information of people or organizations.

Is there any particular emphasis you would like in the sermon/meditation at your funeral? *

Any other special requests or preferences? *

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