Do you want to be buried?

Yes     No

For help in deciding between burial and cremation, please click here (PDF file help).

Where would you like to be buried?

In a Cemetery Graveyard Other

If ‘Other’, please give details.

Details of burial:

For help in choosing the type of burial, please click here (PDF file help).

Is there a family plot in this location or have you reserved a plot?

Yes     No

If 'Yes' please give details.

Location:
Address:
Main Phone Number:
Reference Number (if any):
Email Address:

If ‘No’, is there a reason why you want to be buried at a specific location? This might help ensure that the location is made available.

Reason for the location:

Do you want to leave the choice of coffin to your family?

Yes     No

If ‘No’, what type of coffin would you like? Please give a full description including the style and any reference number.

Description of the coffin:

For help in choosing a coffin, please click here (PDF file help).

Do you want to leave the choice of headstone and inscription to your family?

Yes     No

If ‘No’, what type of headstone and inscription would you like? For the headstone, please give a full description including the type of stone, shape and any reference number. For the inscription, please give full details including the specific inscription and chosen style.

Details of the headstone:

Details of the inscription:

For help in choosing a headstone, please click here (PDF file help).

Do you have any special requests for the burial?