If you are intersted in having a funeral or reception at Bedford Alliance Church, please fill out the form below. Someone from our team will get back with you with more information.

Request Entry

Your Information

First Name

Last Name

Mobile Phone

Who is this service for?

First Name

Last Name

Funeral Information

Service Type

What is the name of the funeral home organizing the service?

What is the funeral home's city and state?

Would you like to have the service at the church?

Would you like to have the reception at the church?

What is the desired date for the service/reception?

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