Multimedia Request Form—Funeral Services

Please complete this form to secure multimedia support for funeral services. Non—church members will be charged $200.00. All monies are due upfront at the time all church services are requested.

Upon payment and submission of this form, a member of the Multimedia Ministry team will be in touch to discuss details.

Today's Date

First & Last Name

Phone Number

Email Address

Preferred Method of Communication

Phone

Text

Email

Date & Time of Funeral

Month

Day

Year

Time

HoursMinutes

Media Services Requested

Slideshow

Livestream

Background Music

N/A

Is the deceased a current member of Antioch Missionary Baptist Church?

Yes

No

Non—church members will be charged $200.00 for Antioch Missionary Baptist Church Multimedia Ministry services. All monies are due upfront at the time all church services are requested.

Upon payment and submission of this form, a member of the Multimedia Ministry team will be in touch to discuss details. Please ensure this form is submitted in a timely manner to secure all requested support.

Signature

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FUNERAL SERVICES

Multimedia Request Form—Funeral Services