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cELEBRATING 85
GIVE
GIVE
GIVE
GIVE
homegoing service request
First name
Last name
Email
Phone
Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Country
Name of Deceased
Date of Death
Are you currently a member?
First Baptist Church Piney Grove Member
Immediate Family Member
Non-Member
Funeral Home and Contact Number
Service Venue
Proposed Date and Time of Service
Type of Service
Homegoing/Funeral Service
Memorial Service (body not present)
Graveside Service
Burial Site
Will there be a wake or viewing?
Yes
No
Is FBCPG Clergy being requested?
Yes
No
Is the FBCPG Music Ministry being requested?
Yes
No
Will there be a repast?
Yes
No
If yes for repast, how many attendees?
Special Notes / Additinal Information
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