FUNERAL INFORMATION

a planning form for Christian celebrations of life

(Please return to Trinity Lutheran Church, 26 W. Commerce Street, Chambersburg, PA  17201)

NAME __________________________________________________________________________

At the time of my death or an incapacitating illness, please notify the following:

                        NEXT OF KIN                                    OR            POWER OF ATTORNEY or EXECUTOR

Name______________________________                   Name ________________________________

Address____________________________                   Address______________________________

Phone _____________________________                   Phone _______________________________

Choice of funeral home______________________________________________________________

Location of cemetery lot or cemetery preference __________________________________________

My favorite Bible passages are: (Book, chapter, verse or “quote”)

My favorite hymns are: (Either list hymn titles or numbers in the hymnal)

Service: (    ) Funeral      (     ) No funeral     (    ) Memorial Service

Please check one of the following:

      (     )     I would like the congregation to sing hymns at my funeral.

      (     )     I would like a soloist to sing at my funeral.

      (     )     I would like both a soloist and the congregation to sing.

      (     )     I would like no singing, but would like to have organ music played.

      (     )     I want no music sung or played.

Please check one of the following:

      (     )     I would like to have my funeral conducted in the church (or chapel).

      (     )     I would like to have my funeral conducted in the funeral home.

      (     )     I would like to have only graveside rites.

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Please check the following if desired:

      I would like people to remember me with memorial gifts (check those which apply),

      (     )     Trinity Lutheran Church (Memorial Fund, Building Fund, Endowment Fund, Etc.)

      (     )     My favorite charity which is ___________________________________________________

      (     )     In lieu of flowers, donations to _________________________________________________

Also, please check the following if desired:

      (     )     I would prefer a viewing:

                  (     )     The night before              (     )     Prior to the service                (     )     Both

      (     )     I do not wish a viewing.

      (     )     I prefer a closed casket at funeral home.

If services are conducted at the church, I prefer:

      (     )     viewing prior to the service

                  (     )     viewing in the hallway (for services conducted in Neal Chapel)

                  (     )     viewing in the Chapel (for church services conducted in Sanctuary)

      (     )     I prefer a closed casket at church.

      (     )     Memorial Service

I prefer to be cremated (       )     Yes            (     )     No

I have completed an obituary summary suitable for publication        (     )     Yes            (     )     No

(     )     I have completed an “Advanced Medical Directive” (Living Will), file copy in the church files.

            Copies to Attorney - Family – Physician

(     )     I would like healthy organs donated to medical science, and I have completed a donor card.

Other personal preferences: