RCC Funeral Reservation Form
Email address
Name of Deceased
Your answer
Funeral Date
MM
/
DD
/
YYYY
Time
:
Visitation Date
MM
/
DD
/
YYYY
Time
:
Location of Burial
Your answer
Immediate Family Members
Your answer
Family Contact Person
Your answer
Phone Number
Your answer
Funeral Home & Supervisor
Your answer
Facilities and Fees
All fees are payable to the church office no later than the date of the service. To hold the facility, this form must be submitted to the church office with a $25 deposit made payable to Riverside Community Church.
Minister's Honorarium
See the Funeral Supervisor and/or Funeral Coordinator. (Usually $200)
Instrumentalists/Vocalists
As agreed upon with the person(s).
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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