Memorial Garden & Memorial Service Request
Please fill out this form and click submit.
Today's Date
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Your Name
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Address
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Phone
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Email
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This address will receive a confirmation email
How is the deceased associated with First Church?
*
Please select all that apply.
Member
Non Member
Deceased Name
*
Deceased Life Dates
*
Memorial Garden Details
Please Select to Purchase for the Memorial Garden
Please select all that apply.
Plaque ONLY for Memorial Garden: $250
2 Plaques ONLY for Memorial Garden: $500
Member Single Plot: $200
Member Single Plot with One Plaque: $450
Member Double Plot: $300
Member Double Plot with One Plaque: $550
Member Double Plot with Two Plaques: $800
Non Member Single Plot: $400
Non Member Single Plot with One Plaque: $650
Non Member Double Plot: $600
Non member Double Plot with One Plaque: $850
Non Member Double Plot with Two Plaques: $1100
Full Name with Middle Initial for Plaque (#1)
Life Dates for Plaque (#1)
Full Name with Middle Initial for Plaque (#2)
Life Dates for Plaque (#2)
Memorial Service Details
Someone from the church will contact you about the details/date requested.
Please Select For Memorial Service
Please select all that apply.
Internment Only
Inside Memorial Service Only
Internment & Outside Memorial Service
Internment & Inside Memorial Service
Please Select for Mandatory Memorial Service Fees
Please select all that apply.
Member Pastor: $350
Member Administrator: $100
Member Sexton: $75
Member Building/Grounds: $0
Non Member Pastor: $450
Non Member Administrator: $150
Non Member Sexton: $150
Non Member Building/Grounds: $700
Please Select for Optional Memorial Service Fees
Please select all that apply.
Member Soloist: $150
Member Pianist/Organist: $300
Member Host: $0
Member Video Recording & Online Publishing: $250
Non Member Soloist: $150
Non Member Pianist/Organist: $350
Non Member Host: $500
Non Member Video Recording & Online Publishing: $300
Requested Date of Service
Requested Time of Service
Number of Guests
Funeral Home & Contact if Applicable
Use of Church Facilities for Reception
Please select all that apply.
Yes
No
To use the Church Facilities for Reception, Please click
HERE
Payments
Total Payment Amount
*
Payment Type
*
Please select all that apply.
Credit Card
Check
Check #
Online payment can be taken
HERE
Please select Memorial on drop down menu
We also accept payment by check made out
and mailed to:
First Church of Christ in Saybrook
366 Main St
Old Saybrook, CT 06475
For info call church office: (860) 388 3008
Please Note: Ashes must be in a biodegradable container for Memorial Garden
For Office Use Only
Paid
Please select all that apply.
Yes
No
Submit
Description
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