Contemporary Catholic Community

White Robed Monks of St. Benedict:
South Africa Presence

Funeral 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.
Contemporary Catholic Community
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:
Surname:

Please enter your mailing postal address:
Address: City:

District:

Province:

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 Surame:
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:

District:

Province:
Country (if not South Africa, click "Outside"):

Country (if not South Africa, please type-in Country):

On-Site Contact Person:

Phone number with Area Code:

E-mail address:

Will there be a Vigil? 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.
Contemporary Catholic Community
Please PRINT this form for your records prior to clicking Submit.
Note: If you DO NOT receive a Thank You Notice upon submission, the CPU from which you are about to transmit this form may have a firewall that does not allow a cgi script to send a Thank You Notice-Your data has transmitted message. This is especially so if you receive a 404 error notice saying "File cannot be found." All is well. Your information has probably transmitted. If you receive "File cannot be found.," please hit REFRESH and the Thank You Notice should appear.

In any case, as added insurance, we strongly recommend that you send a separate e-mail to Web Master with Subject being Baptism Petition and in message area: your contact e-mail, your last name as p[etitioner, Date of Funeral/Memorial (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.

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