Funeral/Memorial Service Request For Use eForm
Lighthouse Ministries International (LHMI) wishes to extend its condolences to you and your family on the passing of your loved one(s). Death is never really a very happy time for many, yet we pray that during this time the fond memories of the departed will carry on with you. We pray that God will comfort you during this time.

Kindly complete the following in-taking questions initiate the request for use of our facilities to host a funeral, memorial service, repast and/or reception. Please note that your submission of this form, does not mean your request has been granted/approved. It will be reviewed and a response give within 24-48 hours.

Thanks for considering LHMI, Inc. for the celebration of the life of your loved one.

NB: All items marked with * are to be completed, otherwise your form will be incomplete and the submit button will not appear.
Email address *
What is the date of the service? *
Enter the 1st date choice
MM
/
DD
/
YYYY
What is the alternate date of the service? *
Enter a 2nd date option, just in case the 1st date is not available.
MM
/
DD
/
YYYY
Are you a member of LHMI? *
What is your Telephone number? *
Mobile number preferred.
Your answer
When is the best time to call you?
Use other for the best time, if none of the options below are suitable for you.
Tell us a little about the departed *
Using the space below, share with us who the departed was, their relationship to or with you, and any other pertinent information that may be used during the service to highlight about the life and legacy of your now deceased loved one.
Your answer
Type of Service *
Please indicate what is the type of home going celebration you will be having? Use other to describe an option not listed.
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