Memorial Request Form

Fill this out as best as you can. It is designed to help you communicate with us about how you would like to use the CityView campus for a memorial service.

The next step will be a conversation with a pastor to discuss the availability of the CityView campus and/or CityView pastors and the details of the service.

Your name *

Email address *

Phone number *

Name of Deceased *

1st Choice Date *

2nd Choice Date (if applicable)

Start Time & End Time *

What is your expected attendance? *

Your 1st Choice For the Officiating Pastor

Your 2nd Choice For the Officiating Pastor

Are you requesting any A/V services? *

LED screen, microphones, pre-recorded music, etc. Please note there is an additional $100/hour cost for production staff.

Yes

Are you requesting a room for a reception? *

See fees at the bottom of this form.
Limit of 80 people at tables.

Yes

Coordinator (if not you)

Coordinator's Email Address (if not you)

Coordinator's Phone (if not you)

Are there any other details you need to communicate or questions that you have?

Check each box below to show that you have read and understand these donation suggestions and campus usage terms. *

Suggested Donation for Funerals at CityView: $750 to cover pastor honorarium, cleaning and facility costs

Suggested Donation for 2000 Building for Receptions: $250 for cleaning and set up costs

I understand that CityView events take precedence over non-CityView events/meetings.

I will make sure to clean up and put the room back in "order".

I understand that there are no drugs or alcohol allowed on campus.

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