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First name
*
Last name
*
Email
*
Phone
*
Address
*
How is the decedent related to the Shareholder?
*
Spouse
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If other, please type below
*
Decedent's Full Name
*
Is the decedent an active shareholder
*
Yes
No
I'm Not Sure
Date and time of the Visitation
*
Month
:
AM
Visitation Location
*
Date and time of funeral service
*
Month
:
AM
Funeral service location
*
Funeral Home of Choice
*
Funeral Home Address
*
Funeral Home Phone
*
Service Needs
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Pastor Baker/ Ministerial Staff
Choir
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HOME
ABOUT US
Our Pastor
Our Team
MINISTRIES
God First Students
VISIT US
CONNECT
New Shareholder
Get Baptized
Volunteer
PVBCares
Prayer
Counseling
Baby Dedications
Weddings
Bereavement
Financial Assistance
EVENTS
Church Rental
WATCH
GIVE
STORE
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