Record of Funeral with The Antiochian Orthodox Christian Archdiocese of North America
Sacrament Form
Email address *
Name of Deceased *
Your answer
Street Address *
Your answer
City and State *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Date of Death *
MM
/
DD
/
YYYY
Date of Funeral *
MM
/
DD
/
YYYY
Cemetery Name, City & State *
Your answer
Name of Spouse (if married)
Your answer
Survivors
Your answer
Funeral Parish Name, City & State *
Your answer
Funeral Officiant Name *
Your answer
Funeral Officiant Parish Name, City & State (if different than above)
Your answer
A copy of your responses will be emailed to the address you provided.
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