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Prayer
Financial Assistance
Pastoral Guidance
Funeral Request
Hospitalization Notice
Other Request
Funeral Assistance
We know loss is one of life’s most challenging circumstances to navigate, and we’d be honored to support you during this time. Would you please take a minute to fill out the form below to let us know how we can help?
Funeral Request
First Name
First Name is required.
Last Name
Last Name is required.
Email
Email address is not valid
Email is required.
Campus
Broken Arrow
Tulsa
West
Campus is required.
Home Phone
Mobile Phone
Name of the person who is deceased
What is your relationship to the deceased?
Would you like a Pastor from Church on the Move to officiate the funeral?
Yes
No
I'm not sure
Date of the funeral, if known
Comments
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