White Robed Monks of St. Benedict

Funeral/Memorial Petition
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:
First Name:
Middle Initial:
Last Name:

Please enter your mailing postal address:
Address: City:

USA, State:

USA ONLY please enter ONLY 5 digit ZIP Code:

If in USA, to insure prompt processing of this form, PLEASE obtain and fill-in below your ZIP+4.
To obtain your ZIP+4 please click: USPS Zip Code Retrieval Unit. Your information (usually) will be saved. When +4 is obtained, just click browser's tool bar BACK button at top of USPS page to return to this form.

Zip+4 currently in USPS data base. YES  NO   If NO, then insert OOOO in next field.Thank you.)

Please enter ONLY +4 here:

Outside USA, Province:

Outside USA Postal Code:

Country:

Please enter your home phone number with area code:
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:
State /Province:

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

Funeral or Memorial Date:
Funeral or Memorial Time: <Please enter WITHOUT COLON (:)> AM PM

Funeral or Memorial Location:

Address:

City:

State:
Province:

Country (if not USA, click "Outside"):

Country (if not USA, please type-in Country):

On-Site Contact Person:

Phone number with Area Code:

E-mail address:

Will there be a Vigil prior to Funeral/Memorial Service? YES NO

If YES:
Vigil Date (MM/DD/YYYY):

Vigil Time: <Please enter WITHOUT COLON (:)> AM PM

Vigil Location:
(If Vigil will be held where Funeral or Memorial will take place, then please write in "Site." Thank you.)

Approximate number of people in attendance :

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.

Thank you. Peace and Joy to you and yours.
White Robed Monks of St. Benedict
Please PRINT this form for your records prior to clicking Submit.
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.
BEFORE SUBMITTING THIS FORM
PLEASE CHECK THAT YOUR E-MAIL ADDRESS IS CORRECT.

Type the number:

Homepage

Father Abbot
White Robed Monks of St. Benedict
Post Office Box 27536
San Francisco CA 94127-0536 USA
Phone: 415-292-3228
e-mail:webmaster@whiterobedmonks.org
Page URL: http://www.whiterobedmonks.org/funerala.html
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