Application for Reservation of Columbarium Niche

I hereby apply to reserve one niche in the All Saints Lutheran Church Columbarium. I understand that this application is subject to approval by the Columbarium Committee. I also understand that if this application is accepted, the purchase and use of the niche will be subject to the Columbarium Policies and Regulations. I have been furnished with and have read the Policies and Regulations and understand the Policies and Regulations may be changed at any time by the Congregational Council without notice.

Personal Information
Name *
Name
Primary Phone *
Primary Phone
Other Phone
Other Phone
Next of Kin
Next of Kin, Name *
Next of Kin, Name
Next of Kin, Phone *
Next of Kin, Phone
Optional: Additional Next-of-Kin
If you have information about more than two next-of-kin households to share, please contact the office manager at office@allsaintscg.org
Additional Next of Kin, Name
Additional Next of Kin, Name
Additional Next-of-Kin, Phone
Additional Next-of-Kin, Phone
Niche-sharing?
Check one box: *
Name of individual sharing niche
Name of individual sharing niche
(If applicable)
Optional - Person who has authority to remove my ashes from the columbarium at a future date
Person who has authority to remove my ashes, Name
Person who has authority to remove my ashes, Name
Person who has authority to remove my ashes, Phone
Person who has authority to remove my ashes, Phone
Office Use Only
$
Down Payment Received
Down Payment Received
$
Final Niche Payment Received
Final Niche Payment Received