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Visit Gate of Heaven Cemetery
Contact Us
Toggle Navigation
About
News & Events
Request a Committal Service
Catholic Funeral Rites
Burial Options
Resources
Flower Program
Contact Us
Request a Committal Service
Request a Committal Service
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2023-10-23T14:00:10-04:00
Tell us about the deceased
Name of Deceased
*
Date of Birth
*
Date of Death
*
Location of Birth
*
Location of Death
*
Age of Deceased
*
Gender
Male
Female
Father's Full Name
*
Mother's Maiden Name
*
Marital Status
*
Married
Widowed
Divorced
Never Married
Spouse's Full Name
Spouse's Maiden Name
Was the deceased a Veteran?
Yes
No
Branch (check all that apply)
Army
Marine Corps
Navy
Air Force
Space Force
Coast Guard
National Guard
War(s)
Are Military Honors Scheduled?
Yes
No
Do you have a DD 214?
Yes
No
Service details
Type of Burial
*
Casketed
Cremation
Are you working with a funeral home?
*
Yes
No
If yes, which one
Who is making this request?
Who should we contact to schedule this service?
*
Relationship to Deceased
*
Street Address
City
State
Option
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Connecticut
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Maryland
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New Hampshire
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New York
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (AA)
Armed Forces (AE)
Armed Forces (AP)
Zip
Primary Phone
*
Email Address
Additional Comments
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