Mission Request for a Funeral

We recognize and are grateful for the sacrifices that our military families make on our behalf. Please know that we share in your loss.

We MUST have an invitation from an IMMEDIATE family member.

We do our utmost to honor all mission requests - even a Short Notice Mission (within 48 hours of the first date of the funeral) requests. Please be sure that spelling of the deceased name is correct, as this information is very important.

You will receive an immediate confirmation email of your request. If you do not receive this confirmation, please first check your Spam/Junk email folder. If you still did not receive a confirmation, contact us at This email address is being protected from spambots. You need JavaScript enabled to view it.

You will hear from a PGRNY member shortly.

Thank you.

Requester's Information:

Please choose date from calendar popup.
Input phone number formatted as numbers only. Do not input dashes.
Please supply a valid email address

If you are not an IMMEDIATE family member, please complete the following:

Input phone number formatted as numbers only. Do not input dashes.

About the person to be Honored:

Please choose date from calendar popup.
Please check all that apply.

Information about the funeral services:

Please choose first date of funeral from calendar popup. If service is over multiple days, please provide the first date here. List additional dates in "Any Other Information/Comments" section.

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Checks payable to Patriot Guard Riders of NY may be sent to:

PGRNY
Attn: Treasurer
PO Box 637
Wappingers Falls, NY 12590

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