Primary Contact for the Family *

First Name

Last Name

Phone

(###)

###

####

Who is this service for?

First Name

Last Name

What is the funeral home's phone number?

(###)

###

####

What date would you like to have the service?

MM

DD

YYYY

What time would you like to have the service?

Hour

Minute

Second

AM PM

Will there be a visitation at Faith Church before the service?

Yes, for family only

Yes, open to anyone who would like to come

The visitation will be at the funeral home at a different time

There will be no visitation

If there will be a visitation at the church, what time would you like it to start?

Hour

Minute

Second

AM PM

Are you requesting a Faith Church pastor to officiate the service?

(subject to their availability)

No

Pastor Kirk Proctor

Pastor Evan Bibb

Pastor Nate Barnell

Pastor Ashley Burger

Pastor Courtney Ferden

If you answered "no" to the previous question, what is the name of the person who will be officiating the service?

First Name

Last Name

Would you like a luncheon after the service?

If you answer yes to this question, please click the link on the confirmation page to fill out the luncheon planning form.

Yes

No