Memorial Service Information

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Memorial Service Information

For a downloadable (pdf) copy of this form, click here.
For a more detailed form (including options for visitations and more detailed service options), click here.

* Indicates required field

Deceased *

Service Date *

Service Time *

Service Location *

Please include city.

Service Location Address *

Primary Contact Person *

Primary Contact Email *

Primary Contact Phone *

Primary contact is: *

Funeral director Family member Minister Other

Prelude Music
I will be ready to start playing quiet music 30 minutes before the service start time.

Prelude Music Styles (choose as many as desired) *

Classical Sacred Contemplative Popular No preference

If no style preferences are selected, I will choose a variety of appropriate music. See style examples at "Listen: Music Styles & Samples."

Prelude Music Requests *

See repertoire lists and audio clips at "Listen: Memorial Service Music Selection."

Service Music
Music may or may not be desired during a memorial service. If music is desired, you may choose the selection(s) or leave the choices up to me. See "Memorial Service Selections" for repertoire lists and audio clips.

Service Music *

Specific song(s) requested (enter requests below). Choose for me (enter style preference below). No music needed during service.

Service Music Requests & Information *

Enter specific song requests and/or information about when music is needed during the service.

Postlude Music
I will play quiet music as the family and guests leave.

Postlude Music Requests *

Enter any specific song requests. Typically only one song is needed for postlude.

Additional Information
Enter any additional information about your service plans, any additional requests, or any questions I can answer for you.

Additional information, requests, or questions: *

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