Make us aware of

a Death or funeral

Request Entry

Fill out the form below to inform us about the death of a member or regular attendee, or a loved one of theirs. If you need to speak to someone about a funeral service, please call Victoria Council, 704-295-6869.

Your Information

Campus

First Name

Last Name

Mobile Phone

Address

Deceased Information

Name of Deceased

Your relationship to deceased

Date of Death

Funeral Home Handling Arrangements (if known)

Visitation Date & Time (if known)

Funeral/Memorial Date & Time (if known)

Funeral Home Address (if known)

Would you like this information to be made public on the prayer lists in the monthly church bulletin and on our website?

No Yes

Would you like this information to be forwarded to our intercessory prayer team?

No Yes

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Make us aware of

a Death or funeral

Request Entry

Your Information

Deceased Information

Central Church