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Quotation Request Form:
If you would like one of our friendly staff to contact you with an initial price on you needs, please fill in the form below as best you can. Be sure to include a telephone number so we can reach you to discuss your exact requirements. This forms provides a starting point but, because of the wide range of options available, an accurate cost can only be calculated with clarification of the information provided.

Your privacy is important to us. Any information provided below will be kept in the strictest confidence. We do not sell customer contact lists and we do not share this information with anyone.

Contact Information
Your Name:

Company:

Phone:
Fax:
E-mail:
Confirm E-mail:


Address:

City:
Province/State:
Postal Code/Zip:

Memorial Information
Gallery:

Style Name :
Colour:


Epitaph(s)
First :
Second :
Third :

Vase(s)

Vase Style:

Colour:

Number of Vases:


Cremation Urn(s)

Urn Style:

Colour:

Number of Urns:


Number of Persons on Memorial:
One person
Two persons
Three persons
More than three persons

Information for 1st Person
Last Name :
Given Names :
Date of Birth:
Date of Death:

Information for 2nd Person
Last Name :
Given Names :
Date of Birth:
Date of Death:

Information for 3rd Person
Last Name :
Given Names :
Date of Birth:
Date of Death:

Where will memorial be located?


Other Requirements:


Comments or Questions:







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