Low Cost Cremation Direct (with service )Purchase

Direct Cremation (with service): £1295

Title: *

First Name: *

Last Name: *

Phone Number: *

Email Address: *

Address:

Address Line 1: *

Address Line 2:

Address Line 3:

Town / City: *

County:

Postcode: *

By clicking "proceed" I confirm I have read and agree to the Privacy Policy and agree to be contacted by Low Cost Funeral Ltd, part of the Memoria.

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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 without a service time or attendance, the provision of a standard coffin with four handles, cremation fees and the cremated remains scattered in the Garden of Remembrance at the crematorium.

Grand Total (£):

I understand that by selecting the Direct Option, the cremation will take place at the crematorium but there will not be a service or ceremony of any sort. (If anyone wishes to attend the service please ensure you have selected our Contemporary option).

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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