Storing your wishes – burial

Do you want to be buried?
Yes No

Where would you like to be buried?
In a Cemetery Graveyard Other
If ‘Other’, please give details.
Details of burial:
Have you chosen the location of where you want to be buried?
Yes No
If "Yes", please give details.
Location:
Address:
Main Phone Number:
Email Address:
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 the burial 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:
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:
Do you have any special requests for the burial?
Yes No
If ‘Yes’, please give full details of the special request.
Request(s) :
Do you have any special requests for the burial?
Yes No
If ‘Yes’, please give full details of the special request.
Request(s) :
Do you have any special requests for the burial?
Yes No
If ‘Yes’, please give full details of the special request.
Request(s) :
Do you have any special requests for the burial?
Yes No
If ‘Yes’, please give full details of the special request.
Request(s) :
Do you have any special requests for the burial?
Yes No
If ‘Yes’, please give full details of the special request.
Request(s) :
Do you have any special requests for the burial?
Yes No
If ‘Yes’, please give full details of the special request.
Request(s) :
Do you have any special requests for the burial?
Yes No
If ‘Yes’, please give full details of the special request.
Request(s) :
Do you have any special requests for the burial?
Yes No
If ‘Yes’, please give full details of the special request.
Request(s) :
Do you have any special requests for the burial?
Yes No
If ‘Yes’, please give full details of the special request.
Request(s) :