Beverly Hills SDA of Chicago IL

“The Lord is close to the brokenhearted, and saves those who are crushed in spirit.” –Psalms 34:18

If you have experienced a death in your family we would be honored to be there for you in your time of need. Please fill out the information located below and someone will be in touch with you shortly.

Bereavement/Funeral Notice

Main Contact Person
Name*
Prefix First Last Suffix
Email*
Phone*
Deceased Information
Name of the Deceased*
Prefix First Middle Last Suffix
Was the deceased a regular attendee or member of Beverly Hills?*
- Member
- Attendee
- No
Deceased relation to Main Contact*
(i.e. mother, father, etc.)
Did the deceased serve in the church? If so, which ministry?
Would you like us to notify their Ministry Leader?
- Yes
- No
Funeral Service Request
Are you requesting to hold services at Beverly Hills?*
- Yes
- No
First Preferred Date of Funeral/Memorial Service
Date Format: MM slash DD slash YYYY

Please note that funeral/memorial services may be held Mon.-Fri. subject to availability.
2nd Preferred Date of Funeral/Memorial Service
Date Format: MM slash DD slash YYYY

Please note that funeral/memorial services may be held Mon.-Fri. subject to availability.
Preferred Time of Funeral/Memorial Service:

: HH

MM

Please note that funeral/memorial services may be held Mon.-Fri. subject to availability.
Funeral Information
If not held at Beverly Hills.
Location of Funeral (If Not Held At Beverly Hills)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Funeral
Date Format: MM slash DD slash YYYY
Location of Wake
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cause of death
Date of Wake:
Date Format: MM slash DD slash YYYY

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Bereavement/Funeral Notice

Main Contact Person

Deceased Information

Funeral Service Request

Funeral Information

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