Memorial Service Request Form
Ngena ngemvume ku-Google ukuze ulondoloze inqubekela-phambili yakho. Funda kabanzi
I-imeyili *
Name of Deceased *
Address *
Date of Birth *
MM
/
DD
/
YYYY
Date of Death *
MM
/
DD
/
YYYY
Service to be held at: *
Officiating Clergy *
Language of Service *
Funeral Home *
Funeral Home Contact Name *
Funeral Home Address *
Wake Date
MM
/
DD
/
YYYY
Burial or Cremation
Sula okukhethiwe
Burial or Cremation: Location
Flowers or in lieu of Flowers
  donations may be sent to St. Kevork Armenian Church
Memorial Luncheon
Memorial Luncheon Address
Memorial Luncheon Date and Time
MM
/
DD
/
YYYY
Isikhathi
:
Okulandelayo
Sula ifomu
Ungalokothi uhambise amaphasiwedi nge-Google Amafomu.
Leli fomu lidalwe ngaphakathi kwe-armenian apostolic ch. Bika Ukuhlukunyezwa