Graveside Order of Service / Committal Service

Submitter’s Contact Information

Your Name

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Email Address

Service Information

Title for Memorial Keepsake

Loved One's Name

Nick Name

Birth and Passing Dates format

Date of Birth

Date of Passing

Day of the Week of the Service

Date Service Will be Held

Place of the Service

Time Of The Service

Hours

Minutes

AM/PM

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Officiant's Title

Officiant's Name

Color Scheme or Backgroundsuch as flowers, clouds. pink, blue, etc. for Memorial Keepsake

Imagery for Memorial KeepsakeWhat kind of Background Image(s) would you like? Ex. Symbols, Praying Hands, Dove, Cross, Hearts, etc.

Active PallbearersWho’s carrying the casket?

Honorary PallbearersHonored but not able

Type of Final Resting Place?

Name of the Cemetary

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Will there be a Repast?Repast: a gathering after the serviceYesNo

Where will the Repast be Held(Family member’s home, Park, etc.)

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

AcknowledgementExample: The family of thanks you for the many acts of loving kindness shown to us during our bereavement. Your thoughtfulness is deeply appreciated and will always be remembered.

Funeral HomeServices entrusted to:

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone Number

Processional

Family's Entrance Song or RecordingFor the processional

Or Select a Song Title

Scriptures

Clergy or Readers NameThe Reader of Scripture

Select Old Testament Reading

Or Choose your Own

Select New Testament Reading

Or Choose Your Own

Prayer

Name of Person Praying

Or Select a Song Title for Prayer

Or Name of Opening Song

Open Remarks (yes or no)Family and FriendsNo

Read ObituarySilentlyAloud

If Aloud, Name of Person ReadingPerson delivering the eulogy

Words of Comfort/Committal/Closing PrayerClergy/Minister

Clergy's Church Name

Closing Song (optional)

Self Typed Obituary

If You have an obituary already written please upload here

Maximum Words by size:
STANDARD SIZE: 250
MEDIUM SIZE: 475
LARGE SIZE: 675

Upload file (Microsoft Word File, .doc or .docx)Please do not upload images or zip files here.

No file chosen

Or copy/paste or type the obituary text and/or your own order of service here

Upload any other text such as poem(s), Tribute(s), and/or Scripture(s) herePlease do not upload images or zip files here.

No file chosen

Or copy/paste or type any Poem(s), Tribute(s) or Scripture(s) here

DO NOT FILL OUT IF YOU WROTE THE OBITUARY YOURSELF.
Fill this questionnaire out only if you want us to compose the obituary for you.

Name of Loved One

Date of Birth

Place of Birth

Father's Name

Mother's Name

He/She Was The…(5th born of ten children)

EducationNames and Locations of Schools

AchievementsHonor Roll, Valedictorian, Office Holder

Accepted Christ at an Early Age?YesNo

Received Catholic Confirmation at age 12?YesNo

Early Religious Background

Type Religion Here if not Mentioned Above

Name of Previous Church

Previous Pastor

Current Church

Current Pastor

Offices HeldTrustee, Usher, Board, etc.

Years Attended

Auxiliaries Served

Military Branch

From

Honorable Discharge?YesNo

Wars/Battles

Highest Rank

Awards

First Spouse Name

Date Married

Meeting Courtship Notes

Name(s) of Children Born to this Marriage

Second Spouse Name

Date Married

Meeting Courtship Notes

Name(s) of Children Born to this Marriage

Special Notes About Being a Parent

Special GroupsVFW, Eastern Stars, Travel Club, Block Club, Senior Citizens, Dance Club, Card Club, etc.

CharacteristicsLovable, Loving, Kind, Friendly, Sense of Humor, Helpful, Thoughtful, Serious, Practical Joker, Shy, Feisty, Outspoken, etc.

Favorite ActivitiesReading, Painting, Cooking, Family Gatherings, Playing and/or Watching Sports, Fishing, Camping, Boating, Shopping, Traveling to Las Vegas

Favorite Sayings

Share a Special Note, Memory, or Time About Your Loved OneWhat will they be remembered for?

Place of Death

Date of Death

Name(s) and Relationship(s) of Those Who Passed Away Before this Loved OneSister, Brother, Mother, etc.

FROM THIS POINT FORWARD. LIST LIVING RELATIVES ONLY
CITY AND STATE CAN BE LISTED IF SPACE PERMITS

Spouse's Name

Years Married

Children and Their Spouses

Parents

Grandparents

Siblings and Their Spouses

Aunts/Uncles and Their Spouses

Grandchildren

Great-Grandchildren

Godparents, Children. Brothers and Sisters

Special Friends

Use This Phrase: "And a host of nieces, nephews, other relatives and friends"YesNo

Save as Draft

Graveside Order of Service / Committal Service

Graveside or Cryptside Service Form

Submitter’s Contact Information

Service Information

Processional

Scriptures

Prayer

Self Typed Obituary

FROM THIS POINT FORWARD. LIST LIVING RELATIVES ONLYCITY AND STATE CAN BE LISTED IF SPACE PERMITS

FROM THIS POINT FORWARD. LIST LIVING RELATIVES ONLY
CITY AND STATE CAN BE LISTED IF SPACE PERMITS