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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:
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Purchase at the time
Leave On Leave On Selected
4 5 6 Pallbearers (Six are are required) 1 2 3 Musical Tributes: Soloist: Organist/Pianist: Congregational Hymns:
Favourite Genre or Artist:
Community Organizations or Clubs that may participate:
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