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Police Department

Administrative Division - Special Events Coordinator

Procession Escort Request

       

Today's Date-- mm/dd/yy  
Contact Person Name  
Contact Person Phone #  
Contact Person e-mail Address  
Funeral Home Name  
Funeral Home Address  
Date of Escort-- mm/dd/yy  
Time of Escort  
Location Name of Service  
Address of Service  
Location Name of Burial  
Address of Burial  
Does escort leave city Yes-      No-
Contact Person from other Agency  
Contact Phone # of Other Agency  


P.O. Drawer 2468
Myrtle Beach, SC 29578
Phone:  (843) 918-1000
Fax:  (843) 918-1028

© Copyright 2004, The City of Myrtle Beach. All rights reserved.