*required information
Name of Deceased*
Your name*
Address*
City*
State*
Zip*
Email*
Home Phone*
Alternate Phone
Proposed Funeral Date*
Proposed Funeral Time*
Start Time | End Time
Will there be a family hour?*
Yes No
Proposed Family Hour Time
Start Time | End Time
Are you a member of this church or was the deceased a member?*
Yes No
Do you need a musician for the funeral?*
Yes No
Do you need special music for the funeral?*
Yes No
Was the deceased a member of SBCC?*
Member Non-Member
Who would you like to perform the eulogy?*
Do you desire to have your reception at the church?*
Yes No
Who will cater the event?*
Caterer’s Phone #
How many people are you expecting for the reception?
Security Code*