Funeral Request Form Use this form to request to hold a homegoing service at MFM Name(Required)This form should only be completed by the person responsible for making decisions on behalf of the family. First Last Email(Required) Phone(Required)Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Relationship to deceased(Required)Membership status(Required)MemberNon MemberList other family members that attend MFMDeceased InformationWas deceased a member of MFM(Required) Yes No Unsure Name(Required) First Last Date of BirthDate of Death(Required)Place of deathFuneral home InformationName of funeral home/ mortuary(Required)Contact person(Required) First Last Phone(Required)Email(Required) Website Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Service InformationWhat type or service are you considering(Required)Traditional (Casket)MemorialService location(Required)Are services to held at MFM or other location MFMOther locationLocation if other than MFMFuneral Date(Required)Our funerals are held on campus Tuesdays and Thursdays. Please select which day works best for your family Tuesday Thursday Requested Date(Required)TimeFunerals are typically 1 - 1.5 hours. Times slots available are from 10 am -1 pm Hours : Minutes AM PM AM/PM Will there be a viewingViewing times are 30 min - 1 hour before service Yes No Was deceased a veteranYesNoWill there be a gun salute Yes No Program Information(Required)Programs are required to be sent to the church for review before printing. Completed programs should be delivered to the church 24 hours prior to service. Who will be responsible for completing program?Contact number(Required)Email Will there be a slideshow?Slideshows should be emailed to asolid@mfmnv.org a minimum of 24 hours before service via mp4. Flash drives will not be accepted the day of service. YesNoWill you need an easel for photoPhotos should be a minimum of 10x12 YesNoBereavement announcement photoPlease upload the photo you would like used for the bereavement /service announcementMax. file size: 128 MB. Do you want repast information announced?(Required)We do not hold repast at the church. If there will be a repast and you want this information shared please let us know location and time to be shared with attendees. Yes No Private Venue/ Location of repastAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Post Body Δ
