email: whitpresby@mindspring.com
Help With Funerals
Please feel free to cut and paste for your own records
Personal
Wishes with Regard to Funeral or Memorial Service
Name:
_________________________________________
Phone:____________________________
Address:_________________________________________________________________________
Date
of Birth: __________________________Place of Birth:____________________
Social
Security Number: _____________________ U.S.
Veteran? Yes ___ No___
Spouse's
name: ________________________________
Children's
names:________________________________________________________
______________________________________________________________________
Father's
name: ________________________________ Place
of Birth:____________________
Mother's
maiden name: ________________________ Place
of Birth:____________________
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
It
is my desire that the following wishes be honored by my family and friends
in the event of my death, as circumstances permit, and with due consideration
for their own desires. Arrangements for the service shall be made with the
pastor of the church.
1.
The type of service shall be:
_____
a Funeral ______ A Memorial Service: ________ at the Church __________
at the Mortuary
_____
A Private Burial Service (graveside) followed by a Memorial Service
_____
A Memorial Service followed by a Private Burial Service
_____
A Private Burial Service only (graveside)
_____
Other:
______________________________________________________________________________
2.
The mortuary handling the details will
be:__________________________________________________
at
(address)________________________________________________________________________
.3.
My cemetery preference is: __________________________, located
at_______________________
I
already own a lot located
at:___________________________________________________________
4.
Pertaining to the disposition of the body, it shall be:
____
Buried in the earth; or ______interred in a mausoleum
____
Cremated with disposition of the ashes:
_____________________________________________________
____
Needed organs are to be donated. Location of donor card
:_____________________________
____
Bequeathed to ________________________________ Medical Facility for scientific
research.
(Note: You must make these arrangements prior to death.)
5.
The type and quality of the casket to be: _______ metal; ______ simple wood;
______ decorative wood
6.
Lodge or Organization participation during service ________is desired. _________
is not desired
_____
Is desired but at an additional service at a time other than the Christian
Service.
Name
of Lodge or Organization: ______________________________________
7.
I desire that the Service include:
Pastor:______________________________________________________________________
Assisting
eulogist/ leader/pastor:________________________________________________________
Scripture
selections:
____________________________________________________________________________________________
Poem
or other relevant writing:
____________________________________________________________________________________________
Organ/Piano
selections:
____________________________________________________________________________________________
Vocal
selections:
____________________________________________________________________________________________
Congregational
hymns:
____________________________________________________________________________________________
Additional:
____________________________________________________________________________________________
8.
Memorial, Foundation, or Charity to which family and friends may contribute
instead of flowers:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
9.
Other requests or comments:
___________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Date:
_________________ Signed:_______________________________________________________
Possible
charges may be required for Church facilities, musicians, custodian and
pastors.
Please
complete, duplicate and sign three copies; keep one, file one with your
Church and one with a responsible person. Do not keep your copy in a safe
deposit box, but in a place known and accessible to members of your
family. Additional copies of this form are available from the church
office.
Whittier
Presbyterian Church, 6030 El Rancho Dr., Whittier, CA 90606,
www.whitpresby.org,
(562) 692-3748, whitpresby@charterinternet.com
