178 Greenwich Avenue, Greenwich CT 06830 | Phone:
203.869.9393
| Fax: 203.625.4760
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Funeral Liturgy
FOR USE BY PARISH STAFF ONLY
Information on Deceased
Type of Liturgy
Funeral Mass
Memorial Mass
Internment ONLY
Name
First Name*
Last Name*
Address
Street 1
Street 2
City
State
-- select --
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Alaska
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Texas
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Washington D.C.
West Virginia
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None--International
Zip
Gender
Male
Female
Age
Date of Death
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
1
2
3
4
5
6
7
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9
10
11
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14
15
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17
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19
20
21
22
23
24
25
26
27
28
29
30
31
/
Cause of Death
Relative
First Name
Last Name
Phone
-
-
Relation to Deceased
Additional Family Info
Funeral Home Information
Funeral Home
Please make a selection
Castiglione
Cognetta
Coxe and Graziano
Gallagher
Knapp
Other
Phone
-
-
Contact
First Name
Last Name
Wake?
Yes
No
Date, Day, Time of Wake
Funeral Mass Information
Schedule M-F 10AM and Saturday 11AM
Date, Day, Time of Funeral
Cemetery
Cremation?
Yes
No
Additional Information
Call received by
Please include date call was received
Comments
Remind funeral home there will be no eulogy during the Mass.
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