Report of Deceased Elders for Memorial Service

Report of Deceased Elders for Memorial Service
It is the time of the year to prepare for the "Annual Service of Remembrance". This service is held annually at the September Presbytery meeting. This year that service will be held on September 21, 2017.

Please complete this from for each Elder from your congregation that has died since our last Memorial Service on September 22, 2016.

This must be completed by Tuesday, September 12, 2017.
Name of Elder

First Name Last Name
Church Name *
Presbyterian Church
Date of Death

- Month - Day Year
Date
Name of person completing this form *

First Name Last Name
Phone number of person completing this form *

- Area Code Phone Number
We did not have any deceased elders since September 22, 2016.
Should be Empty: