michael's wood - booking form (may 2015) copys... telephone: 01980 629203 email:...
TRANSCRIPT
BOOKING FORM
Date of booking: Full Name of Deceased: Address of deceased:
Date of Death: Age: Next of Kin details: (Including, name, address, telephone & email address)
Funeral Director Name and Address (if applicable)
Date and time of funeral: Funeral Type: • Burial [ ]
• Interment of Ashes [ ] • Other [ ]
Plot Description • New Single Plot [ ] • Double Plot [ ]
Plot Location and selection (for office use only)
Environmentally friendly Coffin/Shroud type:
Coffin / Shroud/ Urn Dimensions:
Approximate number of mourners attending?
Terms & Conditions Signed? Price Agreed: (see price list) Payment method: (See price list for payment details)
Cheque [ ] Made payable to: Mr. H A Edmunds. BACS [ ] Account name: Mr. H A Edmunds Account number: 00851844 Sort Code: 30-97-41
The Estate Office, Cholderton, Nr Salisbury, Wiltshire, SP4 0DR
www.woodlandburialscholderton.co.uk Telephone: 01980 629203 Email: [email protected]