Low Cost Cremation Contemporary Purchase

Contemporary Cremation: £1315

Title: *

First Name: *

Last Name: *

Phone Number: *

Email Address: *

Address:

Address Line 1: *

Address Line 2:

Address Line 3:

Town / City: *

County:

Postcode: *

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Deceased's details:

Title: *

First Name: *

Middle Name 1:

Middle Name 2:

Last Name: *

Address:

Address Line 1: *

Address Line 2:

Address Line 3:

Town / City: *

County:

Country:

Postcode: *

Gender: *

Date of Birth:

Day: *

Month: *

Year: *

Date of Death:

Day: *

Month: *

Year: *

Certifying Doctor:

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Deceased location:

Contact name:

Address Line 1: *

Address Line 2:

Address Line 3:

Town / City: *

County:

Country:

Postcode: *

Phone Number:

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Additional services:

Return of cremated remains within 28 days (£100)

Doctors Certificate Fees (£164):

Required only in England and Wales if the death is not referred to a coroner

Large Coffin - larger than 6' 3" x 24" (1.91m x 61cm) (£250):

Removal from either a private residence or a nursing home (£250):

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Order summary and confirm:

A cremation booked at a time to suit your family at any crematorium of your choice throughout England, Scotland or Wales, the provision of a suitable coffin with four handles and an engraved plate to be placed on the catafalque in advance of the service and the cremated remains supplied in a suitable container to be collected from the facility.

3rd party disbursements such as the cremation fee are paid by us on your behalf and are additional to the price quoted.

Grand Total (£):

I hereby confirm that I am the responsible person for the proposed funeral arrangements and have read and understand the terms and conditions.

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