2022 Deceased Members

Please Submit the Names
of the
Deceased Members from your Church
September 2021 - August 2022

* Indicates required field

Name of Person Submitting Information *

First

Last

Email of Person Submitting Form or Church Email *

Church Name *

Please Include Names of Deceased Members
(If Additional Space is Needed - Please Submit an Additional Form)
If Possible Please Submit a File containing Photos of the Deceased

Name *

First

Last

Name *

First

Last

Name *

First

Last

Name *

First

Last

Name *

First

Last

Name *

First

Last

Name *

First

Last

Name *

First

Last

Name *

First

Last

Name *

First

Last

Name *

First

Last

Name *

First

Last

Name *

First

Last

Name *

First

Last

File Containing Photos of Deceased - Not Required *

Max file size: 20MB

Submit

Please Submit the Namesof the​Deceased Members from your ChurchSeptember 2021 - August 2022

Please Submit the Names
of the
Deceased Members from your Church
September 2021 - August 2022