Funeral and Memorial Enquiry Form We are sorry for your loss. Please complete this form and a member of our clergy or office team will contact you shortly. 1) Enquirer’s Details First name Last name Email Phone Number Relationship to the Deceased(required) 2) Details of the Deceased First name Last name Date of Birth Date of Death Age (if known) 3) Service Details Preferred Date for Service Preferred Time Type of Service Funeral ServiceMemorial ServiceCrematorium ServiceGraveside ServiceOther / Unsure Location (if known) Funeral Director (if appointed) Hymns, Music, or Readings Additional Notes or Requests 4) Consent I consent to St Mary’s Church storing my details for the purpose of this funeral enquiry and contacting me about my request. I have read the Privacy Policy.
