Memorial Service Request
First Name
*
Please enter your First Name
Last Name
*
Please enter your Last Name
E-mail
*
Please enter email address/username
Phone
Please enter your phone
Event Name
*
Please enter your Event Name
Event Description
Please enter your Event Name
Event Date
*
Start Time
*
End Time
*
Location
*
Main Campus
Mesa Valley
View Location Conflicts
Public?
Public Notes
Public Link
Number of People
*
Additional planning or service contacts Please include name, email, phone number, and role for anyone else involved.
Full name of the deceased
*
Obituary (If not yet available, please write ‘Not yet available’.)
*
Generally, doors open for funeral home and set up one hour before the service start time. What items will you need to be placed for set up?
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Guest book table in foyer
Small (3-foot) table at front of room with white tablecloth
Large (6-foot) table at front of room with white tablecloth
None
Do you have an officiant for the service?
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Yes (Please provide name and contact below)
No, but I don't need one.
No, and I need one.
Name and contact info for officiant, if you have one already.
Are you working with a funeral home?
*
Yes
No
Name of funeral home, if you have one.
Will the body of the deceased be present at the service?
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In an urn/cremated
In a casket/to be buried
Not present at the service
Unsure at this time
Will you leave after the service for a burial ceremony?
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Yes
No
Unsure
Will you have a reception at Grace Church?
*
Yes
No
When will the reception start?
Directly after the service ends
We will return after the burial ceremony
At a different time
Reception tables and chairs will be set up by the church. Which of the following will your reception need?
Tables and chairs for guests to eat
Tables for food to be served from
Table for drink service
Paper plates, napkins, plasticware
Ice
Will you need help with setting out or serving food?
Help setting out food
Help serving food
None
What audio/video or music needs will you have during the service?
Slideshow (MP4 format ONLY)
Picture on screen
Prerecorded music on a thumb drive
Live music
Other
None of the above
Email of person responsible for providing audio/video/photo to the church
Real Person Verification