Page 18 - Kenosha Funeral Services
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 Clergy or Officiant: Name:
Contact Information:
Personal Items: Eyeglasses: Jewellery: Clothing:
or
Funeral Home to Recommend
My preference for the service:
    Notes:
      Pallbearers (Six are required) 1.
2.
3.
Musical Tributes: Soloist: Organist/Pianist: Congregational Hymns:
4. 5. 6.
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Purchase at the time
Leave On Leave On Selected
           Favourite Genre or Artist:
Comunity Organizations or Clubs that may participate:
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