Peace be with you.
Once we received this form, we will be better able to accommodate your request.
May many blessings be to you and yours.
The White Robed Monks of St. Benedict
Please check as appropriate:
Yes, this is a
Funeral/Memorial Petition I am now about to submit.
Please enter today's date (MM/DD/YY)
Please enter your name:
Please enter your home phone number with area code:
Please enter your mailing postal address:
Please enter your work phone number with area code:
Please enter your cell phone number with area code:
Please enter your e-mail address:
Please re-enter your e-mail address:
Name of priest/deacon whom you may be requesting specifically to officiate at the Funeral/Memorial:
Deceased First Name:
Deceased Middle Name:
Deceased Last Name:
Date of Death (MM/DD/YY):
City of Death:
Deceased Religious Tradition
If "Other" religious tradition, please cite name of tradition:
If Catholic, please denote jurisdiction in which deceased practiced:
If "Other" or Independent (*Autocephalous) Catholic, please cite name of jurisdiction:
If a Protestant , please denote the denomination in which the deceased practiced:
If "Other," please cite name of denomination:
Funeral or Memorial
Please, if you so choose, let us know a few words about the deceased.
Please, if you so choose, let us know specifics you may have in mind/heart regarding the deceased's funeral rites.
Peace and Joy to you and yours.Please PRINT this form for your records prior to clicking Submit.
White Robed Monks of St. Benedict
BEFORE SUBMITTING THIS FORM
Note: We strongly recommend that you send a separate e-mail to Web Master with Subject being Funeral Petition
and in message area: your contact e-mail, Last Name, Date of Funeral(mm-dd-yy) and phone number.
We will confirm within 24 hours whether or not we received your petition. Thank you.
PLEASE CHECK THAT YOUR E-MAIL ADDRESS IS CORRECT.