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Loss Announcement Form
Your name
*
Last name
Email address
*
Phone number
*
Phone type
Mobile
Home
Work
Other
What is the name of the loved one you lost and how are you acquainted?
*
When is the funeral/visitation?
*
Where is the funeral/visitation?
*
Would you like to be added to the prayer list?
*
Select…
Yes, please add my family to the prayer list and the prayer wall on the website
No, just pass this along to the staff and elders please
Other
Would you like us to include this information on the Church Family News page of our website?
*
Select…
Yes, please
No, thank you, I only want staff and elders to be informed
Other
Submit
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