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Funeral /Memorial Service Form

Your name *

Last name

Email address *

Who is the service for? (First & Last Name) *

Contact Name *

Regular Attendees at Emmett Nazarene?

Yes

No

Phone Number *

Phone type

What type of service are you having? *

What are you calling the service? *

What is the date of the service? *

What time will the service begin? *

Is a funeral home involved? *

Yes

No

If so, which one?

Is this a private event or open to the church family? *

Can we let the church family know about the event?

Yes

No

How many attendees do you expect? *

Will there be a meal? *

Yes

No

What time will the meal begin? *

Would you like our funeral committee to coordinate the meal? *

Yes

No

What are your audio/ visual needs. Please give details. *

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Emmett Nazarene Church
office@emmettnaz.com
(208)365-2215

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