Memorial Inquiry

Please fill out this form and click submit. A member of our team will reach out to you within 3 business days to set up a time to meet with a pastor.

Family Contact

Name

*

Email

*

This address will receive a confirmation email

Cell Phone

*

Address

*

Memorial Details

Name of Deceased:

*

Deceased Date of Birth

*

Deceased Date of Death

*

Please give three dates that will best work for you and your family. Please know that memorials are primarily held on Saturdays

*

Is the deceased a Member at The Church at Litchfield Park

*

Please select all that apply.

I am a Member I was a Member I am an Active Visitor I am not affilaited with The Church at Litchfield Park at this time

Service Details

Military Honors?

Please select all that apply.

Army Navy Air Force Marines Coast Guard

Reception

Details

*

Please select all that apply.

Yes, I would like to hold a reception at CLP NO RECEPTION Not sure

Description

Please fill out this form and click submit. A member of our team will reach out to you within 3 business days to set up a time to meet with a pastor.

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