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Casket Order Form

Quantity *

Shipping Address

Name *

Address *

City *

State *

Zip Code *

Is this address a mortuary or funeral home?

Receiving Funeral Information (If available)

Contact Name

Phone

Fax

Desired date and time of the funeral viewing/services (Not required to order casket)

Date (DD/MM/YY)

Time

Buyer Information

Title

First Name *

Last Name *

Email *

Confirm Email *

Address *

City *

State *

Zip Code *

County

Phone *

Alt Phone

Fax

Country *

Relationship to the deceased *

Shipping Options

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Standard Delivery

Overnight Delivery

2 Day Rush Delivery

3 Day Rush Delivery

Overnight Saturday Delivery

Deceased Person Information

First Name *

Last Name *

Height

Weight

Additional Information

Comments

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* We will contact you immediately to confirm your order and arrange payment

Order Summary

Bronze - COUCH DBLE SEAL/DBL LID - 48 SOLID BRONZE

<p>Click on the photo for a larger casket photo!<strong>QUITE SIMPLY - the FINES...

$14,995.99 ~~$39,999.99~~

Bronze - COUCH DBLE SEAL/DBL LID - 48 SOLID BRONZE x 1 $14,995.99

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Casket Order Form

Shipping Address

Receiving Funeral Information (If available)

Buyer Information

Shipping Options

Deceased Person Information

Additional Information

How did you hear about us?

Order Summary

Bronze - COUCH DBLE SEAL/DBL LID - 48 SOLID BRONZE

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Casket Order Form

Shipping Address

Receiving Funeral Information (If available)

Buyer Information

Shipping Options

Deceased Person Information

Additional Information

How did you hear about us?

Order Summary

Bronze - COUCH DBLE SEAL/DBL LID - 48 SOLID BRONZE