Death Notice — Grand Chapter of Georgia Order Of The Eastern Star

Grand Chapter of Georgia

Death Notice

Sister or Brother

Sister

Brother

Deceased Name

First Name

Last Name

Georgia member ID

Date of Death if known

MM

DD

YYYY

Chapter Name and Number

Current Office Held

Secretary Information

Name

First Name

Last Name

Address

City

State

Zipcode

Next of Kin Information

Relationship to Deceased

OES Member

Yes

No

Name

First Name

Last Name

Address

City

State

Zipcode

Alternate Next of Kin Information

Relationship to Deceased

OES Member

Yes

No

Name

First Name

Last Name

Address

City

State

Zipcode