Per federal law, all funeral homes accept our deliveries. Learn more

Back to Product

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

Please select one *

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

How did you hear about us?

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

Order Summary

Patriot Eagle Casket

<p>Proudly MADE IN AMERICA! Keep Americans working!Call our Consultants Toll Fre...

$1,699.97 ~~$4,253.00~~

Patriot Eagle Casket x 1 $1,699.97

Your information is secure & private

SSL encrypted secure form

Confirmation call before charging

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

Patriot Eagle Casket

Collections

Information

Customer service

Search Results

Your search results will appear here

No products found

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

Patriot Eagle Casket