Funeral or Memorial Service Request - Community West Church

Phone number *

Name of deceased:

Date of death:

Are you a Covenant Partner or Regular Attendee?

I am a Covenant Partner.

I am a Regular Attendee.

I am not either.

Are you hoping to have a service led by a Community West Pastor?

Yes

No

Are you planning on a funeral service in the sanctuary of Community West Church?

Yes

No

Would you like to hold a reception after the service at the church?

Yes

No

The possible service days and times are listed below. When are you hoping to have the service? (You may select several if more than one option works well for you.)

Mondays at 11AM

Mondays at 12PM

Mondays at 2PM

Wednesdays at 11AM

Wednesdays at 12PM

Wednesdays at 2PM

Thursdays at 11AM

Thursdays at 12PM

Thursdays at 2PM

Saturdays at 2PM

How many attendees do you expect will attend the memorial or funeral service? *