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NAME OF DECEASED
DATE OF DEATH
DATE OF BIRTH
YOUR NAME
WAS THE DECEASED A MEMBER OF CBBC
IF NO, RELATIONSHIP TO A CBBC MEMBER
WHAT FUNERAL HOME WILL BE USED
DATE OF VIEWING / VISITATION
TIME OF VIEWING / VISITATION
DATE OF FUNERAL
TIME OF FUNERAL
LOCATION OF FUNERAL
NAME OF PASTOR PERFORMING SERVICE
FAMILY CONTACT PERSON
CONTACT PHONE NUMBER
ADDRESS TO SEND MEMORIALS
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