Interment Service Church Member

Name of Deceased*
First Middle Last
Deceased Date of Birth*
Month
Day
Year
Deceased Date of Death*
Month
Day
Year
Interment in Memorial Garden Quantity*
Price: $400.00
Service outside at First UU Memorial Garden Quantity
No Charge
Price: $0.00
Minister Quantity
No Charge
Price: $0.00
Opening and Closing of Interment Space Quantity*
Price: $50.00
Total
$0.00
Date of Committal Service*
MM slash DD slash YYYY
Approximate Number of People Expected at the Service*
Questions/Comments
Name:*
First Last
Email:*
Phone