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A fee of $35.00 per lot request is required. At this time we cannot accept credit card payment. When you complete the form, you will be given instructions for mailing your payment to us.

Please fill in the form below. Fields marked with * are required.

Information about the deceased
Name of Cemetery*
Lot Owner Name
Name of Deceased*
Date of Death: Month Day Year*
Where the information should be sent
First Name*
Last Name*
Street*
City*
State/Province*
ZIP/Postal Code*
Country
Phone*
email*
Comment/Question

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