Funeral Application

Westover extends their heartfelt condolences for your family's loss.  To request a service on our campus, enter information related to the deceased below.

*Address Line 1
Address Line 2
*City
*State/Province/Region
*Zip/Postal Code
*Was the deceased an active member of Westover Hills Church?
*If not, is anyone related to the deceased currently an active member of Westover Hills Church?
*What is your relation to the deceased?
*Deceased Date of Birth:
*Date of Death:
*Type of funeral service needed::
Please list your preferred Funeral date.
*Funeral Date- Option 1:
*Funeral Date- Option 2:
*Name of Applicant: