Honor Guard Funeral Form

* Indicates a required field

*Type of Ceremony

Vet

Retiree

Active Duty

Not Sure

Military Chaplain:

Yes No
If Yes, please provide religious preferenece

Casket or Cremate?:

Point of Contact Information

* POC Name:

*POC Phone Number :

Ceremony Details

*Deceased Name:

*Next of Kin's Name:

*Next of Kin's Street Address:

*Next of Kin's City :

* State: * Zip Code:

* Date of Ceremony:

*Ceremony Time:

Name of Cemetery :

*Ceremony Street Address:

*Ceremony City :

* State: * Zip Code:

Additional Comments: