Funeral Request Form
The Christian Gospel Center Church family extends our condolences to you and your family during this time. We are here to support you during this season. 

After completing the form, someone from the church office will contact you within 24 hours. 
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Name of deceased (first, middle, last) *
Date of death *
MM
/
DD
/
YYYY
Was the deceased an active member of Christian Gospel Center? *
Proposed date of service? *
MM
/
DD
/
YYYY
Family contact person? *
Contact number?  *
Is there an address you would like to provide for where the family has been gathering?
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