Funeral Service Application Form

Personal Information:

Full Name of Deceased:

Date of Death:

Relationship to Involved Party (if not the deceased):

Contact Person (Primary Care Giver):

Contact Number:

Funeral Details:

Date of Funeral: __

Time of Funeral:

Venue (if not at LOT premises):

Services Requested:

Please indicate the services you are requesting from the church:

Counselling

Officiating the funeral

Participating in the program

Other

Additional Services (Commercial Related Fees):

Please select any additional services required (if applicable):

Venue

Sound

Photography

Video

Church choir

Instruments

Other

Expectations and Special Requests:

Please provide any specific expectations or special requests related to the church’s involvement in the funeral:

Acknowledgment:

I acknowledge that I have read and understood the church’s funeral policy. By submitting this application, I agree to abide by the guidelines outlined in the policy.

Living Oracles Tabernacle

Cnr. Steve Biko and, Pretorius St
Arcadia, Pretoria, 0083

churchtrac