February 19, 2019 |
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Holy Eucharist
10:30 a.m. Sunday (Nursery provided) 10:00 a.m. Wednesday Christian Formation 9:15 a.m. Sunday Adult Formation
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Christ Church 2543 US Highway 21 South PO Box 1866 Office: 336.372.7983 Members Login |
Christ Episcopal Church Memorial Garden Sparta, North Carolina Application for Burial Space
Date:______________________________ Name of Purchaser:_______________________________________________________ Address: Street: ________________________________________________________ City: ___________________________State: ____________ Zip:_________ Telephone: Home______________________ Office:____________________________ Burial Space Request: _____________ 1. In-ground interment of ashes Lot # __________ (specify single or double) _____________ 2. Inurnment of cremains in Columbarium Niche No. _______ (specify single or double) _____________ 3. Scattering of ashes in Memorial Garden Burial Space For: 1.Name:_________________________________________________ Birthdate:___________________ Date of Death:________________ (If this is a double interment or inurnment) 2.Name:_________________________________________________ Birthdate:___________________ Date of Death:________________
The undersigned applicant acknowledges receipt of a copy of the Policies and Regulations established by the Vestry of Christ Episcopal Church and agrees that acceptance of this application and issuance of a certificate of purchase shall be subject to those Policies and Regulations and any subsequent amendments thereto. _________________________________ Signature of Applicant
Payment Received: $________ by Check No.___________ on ____/____/____.
Certificate of Purchase Issued: _____/_____/______
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