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Funeral-Memorial-Request Entry
Funeral/Memorial Request
Name of deceased
Relationship to HDC
Campus you attend?
Victorville
Apple Valley
Phelan
Hesperia
Online
Does Not Attend
Services requested (one or more)
Funeral
Memorial
Graveside
Reception
Estimated size of gathering
50 or less
50-100
100-200
200+
Contact Person
First Name
Last Name
Relationship to deceased
Birthdate
Phone
Email
Person of Contact Relationship to HDC
Submit