Print this page and fill out.  Make copies for your pastor and family members.

I have given prayerful thought to the service worship following my death. The following are my preferences. I realize that circumstances may apply which will make it impossible to fulfill every suggestion. I offer these preferences as a gift to those who will worship God at my funeral.

My full name and date of birth: _______________________________________________

My will and other important documents are located: _______________________________

If the pastor of my church is not available, I would like _________________________ to be asked to lead the service.

In addition to the pastor, I would like the following to be asked to assist the pastor:

_______________________________________________________________________________

I would like the following to serve as pall bearers:

_______________________________________________________________________________

I would like the following to serve as readers: _____________________________________________

I hope the following scripture passages will be read: ________________________________________

I would like the following to sing a solo or anthem _________________________________________

I would like the following hymns or psalms in the Presbyterian Hymnal to be sung by the congregation:

________________________________________________________________________________

I wish the service the service to be held at: ________________________________________________

I desire a memorial service at which my remains are not present ____ Yes ____ No

I desire a funeral service at which my remains are present: ____ Yes ____ No

I desire the committal (burial or entombment) to take place at ________________________________

I prefer that both the funeral and the committal services take place at the graveside ___ Yes ____ No

I prefer _____ that my body be buried in the earth _____ that my body be cremated

_____ that my body be given to medical research, and I have made those arrangements.

I wish "ashes" to be _____ buried _____ placed in a memorial vault

(over)

I would prefer that memorial gifts be made to:

______ First Presbyterian Church Memorial Fund

Others: ____________________________________________________________________________

Other preferences and information important to those who plan my funeral

Signature: ____________________________________________________

Please give a copy of this document to the church office and to members of your family.