Memorial Order of Service Please see all forms below Memorial Service Form Submitter’s Contact InformationYour Name *Phone *Street AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People’s Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweEmail Address *Service InformationTitle for Memorial KeepsakePlease select…UntitledCelebrating The Life OfHomeGoing Celebration ForThe Wind Beneath Our WingsIn Loving Remembrance OfSharing The Memories OfMemorial Celebration ForForever In Our HeartsA Celebration Of Life ForCelebrate The Spirit OfRemembering The Life OfCelebrating The Essence OfLoved One's Name *Nick NameBirth and Passing Dates formatPlease select…Date of Birth and Passing OnlySunrise – SunsetHeaven Sent – Called HomeAlpha – OmegaArrival – DepartureBorn Into The World – Born Into Eternal RestFirst Light – TwilightEarthly Bound – Glory BoundHeaven Sent – Glory BoundDate of BirthDate of PassingDay of the Week of the ServiceSundayMondayTuesdayWednesdayThursdayFridaySaturdayDate Service Will be Held *Place of the ServiceTime Of The Service *HoursMinutesAM/PMAMPMStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People’s Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweOfficiant's TitlePlease select…DeaconFamily MemberApostleMonsignorBishopEVANGBrotherSisterElderPastorMinisterReverendOfficiant's NameColor Scheme or Backgroundsuch as flowers, clouds. pink, blue, etc. for Memorial KeepsakeImagery 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 ableWhat type of service will it be?Interment (Burial)Entombment (Crypt)Niche Placement (urn)Cremation (Private)Name of the CemetaryStreet AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeWill there be a Repast?Repast: a gathering after the serviceYesNoWhere will the Repast be Held(Family member’s home, Park, etc.)Street AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeAcknowledgementExample: 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 AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodePhone NumberProcessionalFamily's Entrance Song or RecordingFor the processionalOr Select a Song TitlePlease select…Amazing GraceBlessed AssuranceCome Ye DisconsolateGod Will Take Care of YouHis Eye is on the SparrowHow Great Thou Art ThouI Did it My WayIn the GardenIn the Upper RoomIt is Well With My SoulMay the Work I’ve Done Speak for MeSweet, Sweet SpiritTake My Hand Precious LordThe Lord’s PrayerWhat A Friend We Have in JesusWhen the Roll is Called Up YonderWhen the Saints Come Marching InBecause He LivesGreat is Thy FaithfulnessI Won’t ComplainHold to God’s Unchanging HandI’ll be Singing up ThereIn My Home Over ThereIn the GardenIn the Upper RoomIt is Well with My SoulLooking this WayO’ Happy DayOnly What You do for Christ Will LastPeace! Be Still!Somewhere Over the RainbowSweet Bye and ByeSweet, Sweet SpiritTake My Hand, Precious LordThe Lord’s PrayerThis Little Light of MineWhen We All Get to HeavenYes, Jesus Loves MeScripturesClergy or Readers NameThe Reader of ScriptureSelect Old Testament ReadingPlease select…Job 19:1,23-27Psalm 23Psalm 100Psalm 121Ecclesiastes 3:1-4Isaiah 12:1-3Isaiah 25:6-9Lamentations 3:17-26Daniel 12:1-3Or Choose your OwnSelect New Testament ReadingPlease select…Mark 13:30-32II Timothy 4:6-8Revelation 21:4John 14:1-6I Corinthians 15:51-57II Corinthians 5:1,6-10Matthew 5:1-10, 16Romans 5:5-11,17-21Or Choose Your OwnPrayerName of Person PrayingSelect a Song Title for PrayerPlease select…Amazing GraceBlessed AssuranceCome Ye DisconsolateGod Will Take Care of YouHis Eye is on the SparrowHow Great Thou Art ThouI Did it My WayIn the GardenIn the Upper RoomIt is Well With My SoulMay the Work I’ve Done Speak for MeSweet, Sweet SpiritTake My Hand Precious LordThe Lord’s PrayerWhat A Friend We Have in JesusWhen the Roll is Called Up YonderWhen the Saints Come Marching InBecause He LivesGreat is Thy FaithfulnessI Won’t ComplainHold to God’s Unchanging HandI’ll be Singing up ThereIn My Home Over ThereIn the GardenIn the Upper RoomIt is Well with My SoulLooking this WayO’ Happy DayOnly What You do for Christ Will LastPeace! Be Still!Somewhere Over the RainbowSweet Bye and ByeSweet, Sweet SpiritTake My Hand, Precious LordThe Lord’s PrayerThis Little Light of MineWhen We All Get to HeavenYes, Jesus Loves MeName of Soloist or RecordingAcknowledgements, Cards, Flowers, etc.Name of Person Reading: Family Member, Church Clerk or MinisterResolutions (Optional)From Church, Organizations, Eastern Star, Masons, etc.Reflections (Optional)List people you know are going to speak, read poems or give tributesOpen Remarks (optional)Family and FriendsNoRead ObituarySilentlyAloudSong or DVD TributeSongDVD TributeIf Song Please Give TitleSoloist Musician or RecordingPlease select…SoloistOrganistSoloist and OrganistChoirCDEulogy / Words of ComfortPerson delivering the eulogyClergy's Church NameParting ViewPlease select…BeginningEndNo Parting ViewRecessional Self Typed Obituary If You have an obituary already written please upload hereMaximum Words by size:STANDARD SIZE: 250MEDIUM SIZE: 475LARGE SIZE: 675 Upload file (Microsoft Word File, .doc or .docx)Please do not upload images or zip files here.Choose FileNo file chosenDelete uploaded fileOr copy/paste or type the obituary text and/or your own order of service hereUpload any other text such as poem(s), Tribute(s), and/or Scripture(s) herePlease do not upload images or zip files here.Choose FileNo file chosenDelete uploaded fileOr copy/paste or type any Poem(s), Tribute(s) or Scripture(s) hereSubmitSave as Draft Custom Obituary Form 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 OneDate of BirthPlace of BirthCity, State, CountyFather's NameFirst, Middle, Last, SuffixMother's NameFirst, Middle, Last, MaidenHe/She Was The(5th born of ten children)EducationNames and Locations of SchoolsAchievementsHonor Roll, Valedictorian, Office HolderAccepted Christ at an Early Age?YesNoReceived Catholic Confirmation at age 12?YesNoOtherEarly Religious BackgroundPlease select…BaptistMethodistPresbyterianJehova WitnessProtestantCatholicType Religion Here if not Mentioned AboveName of Previous ChurchPrevious PastorCurrent ChurchCurrent PastorOffices HeldTrustee, Usher, Board, etc.Years AttendedAuxiliaries ServedPlease select…DeaconUsherDeaconistTrusteeJunior UsherJunior DeaconChoirChildren’s ChoirSenior ChoirKnights of ColumbusKnight Peter ClaverAlto BoysFlower GuildMilitary BranchPlease select…Air ForceAir Force ReserveAir National GuardArmyArmy ReserveCoast GuardCoast Guard ReserveMarine CorpsMarine Corps ReserveMerchant MarinesNavyNavy ReserveFromDate Enrolled in MilitaryTodate dischargedHonorable Discharge?YesNoWars/BattlesPlease select…World War II (1941 – 1946)Lebanon (1983 – 1984)Grenada (1983)Korean Conflict (1950 – 1955)Persian Gulf (1990 – present)Somalia (1992 – present)Iraq (2003 – present)AfghanistanHighest RankPlease select…AdmiralAirmanCaptainColonelCommanderCorporalGeneralLieutenantPetty OfficerPrivateSeamanSergeantWarrant OfficerAwardsFirst Spouse NameIf wife then give maiden nameDate MarriedMeeting Courtship NotesBlind date, Business assoc., etc.Name(s) of Children Born to this MarriageSecond Spouse NameIf wife then give maiden nameDate MarriedMeeting Courtship NotesBlind date, Business assoc., etc.Name(s) of Children Born to this MarriageSpecial Notes About Being a ParentEmploymentYears of ServiceJob Title / Description / DutiesService AwardsSpecial Notes About Relationship(s) with Co-WorkersSpecial 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 VegasFavorite SayingsShare a Special Note, Memory, or Time About Your Loved OneWhat will they be remembered for?Place of DeathDate of DeathName(s) and Relationship(s) of Those Who Passed Away Before this Loved OneSister, Brother, Mother, etc. FROM THIS POINT FORWARD. LIST LIVING RELATIVES ONLYCITY AND STATE CAN BE LISTED IF SPACE PERMITS Spouse's NameYears MarriedChildren and Their SpousesParentsGrandparentsSiblings and Their SpousesAunts/Uncles and Their SpousesGrandchildrenGreat-GrandchildrenGodparents, Children. Brothers and SistersSpecial FriendsUse This Phrase: "And a host of nieces, nephews, other relatives and friends"YesNoSubmitSave as Draft