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Funeral Enquiry

If you are wanting to hold a funeral service at our church please fill in your name, telephone number, person for whom the service is to be held, your relationship to that person and the date of the funeral service.


Name:*
Telephone No.:*
e-mail address:
Name for whom service is to be held:*
Relationship to you:*
Date of funeral:*
Any additional comments:
Please enter the verification number on the right:*
one two one one one
* Required Fields