Order Form - Farmer Green Tractor Steel Casket

Product Code - CS-104270

Price - $1099.99

The price quoted excludes applicable sales tax, & shipping charges.

Please Specify:
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Is this address a mortuary or funeral home? �
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Phone
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Desired date and time of the funeral viewing/services:
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Date(DD/MM/YY)
Time
Buyer Information:
Title
First Name
Last Name
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Deceased Person Information:
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Last Name
Height
Weight
 

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