Funeral Liturgy Pre-Planning Form Page 2

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LITURGY OF THE EUCHARIST
Gift Bearers:
___________________________________________________________________
Minimum of Two People and Contact Information
Prayers of the Faithful:
___________________________________________________________________
Name of Reader and Contact Information
MUSIC SELECTIONS
Entrance Hymn:
___________________________________________________________________
Name of Hymn
Psalm:
___________________________________________________________________
Psalm Number
Offertory Hymn:
___________________________________________________________________
Name of Hymn
Communion Hymn:
___________________________________________________________________
Name of Hymn
Post Communion Hymn:
___________________________________________________________________
Name of Hymn
Song of Farewell:
Saints of God
Going Forth Hymn:
May the Angels Lead You Into Paradise
There is no charge for the use of our church for Vigil or Funeral liturgies. However, there is a fee for the
musical accompanist and cantor. At the time of final plans, the funeral coordinator will coordinate the
musician and cantor and notify you of the costs and how to make payment.
I, the undersigned, hereby state that the above selections are the desired plans for my funeral liturgy. I
understand that the requested clergy members listed may not be available at the time of my funeral.
__________________________________________________
______________________________
Name
Date
Upon Completion please return form to the Parish office:
Funeral Coordinator
Our Lady of the Assumption Catholic Church
1350 Hearst Drive
Brookhaven, GA 30319
Also, please give a copy to the person listed above as the contact for final arrangements.

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