Funeral Reception Reservation Form

We understand this is a difficult time. Our staff is here to assist you with care and professionalism.

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Contact Information

Full Name *

Phone *

Email *

Preferred Contact Method

Relationship to Deceased

Name of Deceased *

Reception Date *

Reception Start Time *

Estimated Duration *

Number of Guests *

Cultural / Religious Preference

Single Item

Price: $0.00

Dropdown Items *

Multiple Items

Dietary Restrictions *

Single Line Text

Add-On Services *

Special Requests

Invoice Needed?

All reservations require a 25% non-refundable deposit
Final guest count must be confirmed 48 hours prior to event
Cancellations made within 7 days of event are non-refundable
Menu selections must be finalized 5 days before the reception
The American Polish Cultural Center reserves the right to modify terms as needed

Layout Accommodations Full

Checkboxes *

Signature *

Your information will remain confidential and handled with care.

American Polish Cultural Center
2975 E Maple Rd, Troy, MI 48083
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Phone: (248) 689-3636
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