Submit a memoir

Please gather all information to submit before you begin. This form is intended to be completed all at once and there is no save function.

Contact information for person submitting Memoir
*First Name
*Last Name
*Email
*Home Phone
Business Phone
PERSONAL LIFE, EARLY PERIOD
*Complete name of the Deceased
Date of Birth
Place of Birth
Names of parents, including mother's maiden name
Date of marriage and name of spouse (including maiden name of wife)
Full names and birth dates of children (including married names)
EDUCATIONAL BACKGROUND
First church membership (name of church, location,date)
Dates of ordination and admission to Annual Conferenc
Appointments served, with dates
Special areas of service on conference boards and agencies
Retirement date, and any service after retirement
PERSONAL LIFE, LATE PERIOD
Date and circumstances of death
Date and place of funeral and burial
Name(s) of officiating clergy
Full names of all immediate survivors of the deceased
ADDITIONAL INFORMATION
Additional Information
Submit a photo

File size limit 25 mb. Photo file must be .jpg  .gif or .png

Attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

Please do not hit submit until you are ready to send your information.

Only hit submit one time please.

You will recieve an onscreen confirmation in a few moments.

Your browser is not supported or has JavaScript turned off. To register use a different browser or turn on JavaScript.