Funeral Enquiry Funeral Enquiry Deceased Name * First Name Last Name Date of Birth * MM DD YYYY Date of Death MM DD YYYY Age * Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Next of Kin Name * First Name Last Name Relationship to Deceased * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### In which church would you like the funeral to take place? St. Peter's Woodhall Spa St. Margaret's Bucknall St. Margaret's Langton St. Peter's Stixwould All Saints Horsington Crematorium / Cemetery Only Requested Date of Funeral MM DD YYYY Requested Time of Funeral Hour Minute Second AM PM Thank you!
