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Submit Obituary Information

Submit Obituary Information

We provide our On-line Obituary Information Form for the purpose of allowing you and your family to submit to us, the information about your loved one that you would like to appear in their obituary listing on our website, as well as, to be reported to local newspapers and/or periodicals for publication in their obituaries pages.

If you have any questions whatsoever, please contact Church and Chapel Funeral Home at (414) 476-0052.

NOTE: Fields marked with an asterisk ( * ) are required. Any information you submit will be held in the strictest confidence - we do not release any information to outside parties under any circumstances.

 

Deceased Vital Statistics

 

 
 

 

PLACE OF BIRTH:

 

EDUCATION

 

 




Veteran Information

 








Survivors

Newspapers will only use names of the immediate family as listed below. The city or town and state of the survivors must be included - separate each piece of the individual's information with a comma and a space. If there is more than one person per each text area, then separate multiple individuals by hitting the 'enter' key so that they each appear on a new line in the text area.

 




Funeral Service Information

 




Church Information

 




Cemetery Information

 




Information about Informant / Person In Charge Regarding this Obituary

 

 
 
 



Other Information & Instructions

 



 

Locations and Quick Links

 

Brookfield (Central Office)
1875 N. Calhoun Road, Brookfield, WI 53005
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West Allis
7626 W. Greenfield Avenue, West Allis, WI 53214
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Waukesha/Pewaukee
380 Bluemound Road, Waukesha, WI 53188
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Milwaukee Northwest
1875 N. Calhoun Road, Brookfield, WI 53005
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New Berlin
15250 W. National Ave. New Berlin 53151
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Cudahy
3774 E. Underwood Ave., Cudahy, WI 53110
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Pre-Planning Center
9230 W. Bluemound Road, Milwaukee, WI 53226
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