COLRequest - EAST COAST CHRISTIAN CENTER

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We are so sorry for your loss. Thank you for reaching out to us about hosting your loved one's memorial service at one of our locations.

Please fill out the form below to the best of your ability and someone from our team will reach out to you shortly.

Please note our current fee for memorial services is $430. We do not charge for the rental of our facilities. the fee is for our staff who will be taking care of you.

Additional Costs:

$100 - Viewing (Same Day)

$250 - Viewing (Different Day)

$100 - Reception

Date of Application

Service For (full name) *

Member of ECCC *

Campus Attended

Service Time

Date of Passing *

Date of Birth *

Date of Service (1st Choice) *

Time *

Date of Service (2nd Choice) *

Time *

Please provide name and address of the location if it will be offsite:

Estimated Number of Attendees: *

Person Requesting Facility: *

Relationship *

Member of ECCC *

Phone #1 *

Phone #2 *

Funeral home in charge of arrangements: *

Funeral Director: *

Phone *

Is the funeral home providing a memorial card/program? *

Please tell us in a few details of how your loved one passed away. *

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Officiating Pastor (please fill in 3 different choices to assist us with scheduling):

1st Choice *

2nd Choice *

3rd Choice *

If you wish to use an outside pastor, please list their name and organization below:

Do you want a picture slideshow? (You must provide fully edited digital pictures (Jpeg format) 48 hours prior to service so our Creative Communications Department can create the slideshow. If images are not turned in on time we will not be able to create one.) *

Will you be playing music? *

If yes, please provide the names and song titles or tracks here: *

Will there be a reception here? (If yes, please arrange for someone to meet food delivery.) *

Will you need any tables or easels for a guest book, picture display, or food? *

Do you want an audio recording? *