Funeral Service Request Form - Christian Life Center

Phone number *

What is the full name of the deceased? *

What is the deceased affiliation with the Christian Life Center or New London Presbyterian Church?

Christian Life Center Covenant Partner

Regular attender of the Christian Life Center

CLC Staff/Elder (past or present)

Former CLC/NLPC member/regular attender

Family member to a Covenant Partner or regular attender of the Christian Life Center

Has no relation to the Christian Life Center or New London Presbyterian Church

Has previous or plans to purchase a plot at the New London Presbyterian Cemetery

Other

What is the name of the funeral home, directors name, and phone and email address? *

What is your location preference? *

Christian Life Center, 125 Saginaw Road Lincoln University, PA 19352

New London Presbyterian Church, 1986 Newark Rd, Lincoln University, PA 19352

Person(s) responsible for the funeral arrangements. Please include first and last name(s), email address(es), and phone number(s). *

This is usually next-of-kin, close family friend, etc. This will be the person who we contact as we make arrangements for the service.

What date are you requesting to have services? *

What time is the viewing? *

If there will be no viewing please type N/A below.

What time will services be? *

What time will the funeral home arrive on site? *

What time will the family/next-of-kin(s) arrive on site? *

Are you in need of a Pastor for the services? *

No, we have that part covered.

Yes, could you please get back to me to confirm if CLC has a Pastor available to assist. Honorariums are to be discussed and paid directly to the Pastor.

Other

Funeral Services always need some level of Audio Visual services *

The AV services are $50 for a 2-hour minimum. Each additional hour is $25. ALL slide shows, music, video clips, etc. are REQUIRED to be sent as an MP4 or WAVE File DIGITALLY to nate@clcfamily.church. Files must be sent at a minimum of 1 day before the funeral. AV fees need to be written out directly to tech (name will be provided in advance) and given to the funeral coordinator or directly on the day of services)

Yes, I understand I am required to pay $50 for a 2 minimum and each additional hour is $25.

Yes, I understand ALL music, slide shows, video clips etc. are REQUIRED to be sent as a MP4 or WAVE File DIGITALLY to nate@clcfamily.church

Yes, I understand ALL Files must be sent at a minimum 1 day (24 hours) BEFORE the funeral. Nothing given after that or the day of the funeral can be used.

Other

Musicians, organists or vocalist needed? *

Do you have any needs for an organist (only if at NLPC), a musician, or a vocalist? We can not guarantee availability, but will certainly do our best to accommodate and find someone to fill the roles needed.

The musicians are $50 for a 2 hour minimum. Each additional hour is $25. Musician fee checks (or cash) need to be written out directly to the musician (name will be provided in advance) and given to the funeral coordinator or directly on the day of services).

Vocalist

Organist (only for NLPC location)

Musician

Not needed

Other

Are you interested in hosting a reception after the funeral? *

At this time we are can only allow receptions for current and past CLC Family Church Members.

Yes, we know we would like to have a reception at the church. Let's discuss more details.

Maybe, I'd like to learn more information.

No thank you.

Pricing Acknowledgement: *

Non-Member: $500
Non-Member with a burial in NLPC Cemetery $250
CLC Covenant Partner: FREE

Payments can be mailed to Christian Life Center (125 Saginaw Road Lincoln University PA 19352).

If families feel led to make a donation, checks can be written out to Christian Life Center with the deceased family members name in the memo section of the check.

All funerals on Saturday's will have an additional $100 fee for weekend staffing.

I am a non-member and acknowledge the $500 fee ($600 if on a Saturday).

I am a non-member with a burial in NLPC Cemetery and acknowledge the $250 fee ($350 if on a Saturday).

The deceased or next-of-kin is a CLC Covenant Partner and the fee for venue is free of charge.

Other

Do you need any assistance with burials? Cemetery Plots? Any questions of that nature?

This is a different department BUT let us have him contact you!
Please type the name and contact information for the person who is handling the burial/plot/cemetery information.

Thank you for completing this form.

If you have any questions email molly@clcfamily.church. Someone on staff will be in touch soon to discuss your request further. If you have anything else you need to share please do so below.