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Order Enquiry Form

NO ONLINE PAYMENT REQUIRED.

Before completing the online order form make a note of your chosen memorial card designs and verse reference numbers. Upon receipt of your order form we will contact you by telephone to discuss the order in further detail.

Name Of Deceased:
Upload Photograph:
Dates Of Birth & Death:
Age At Death:
Card Types Required:  *
 
 
 
 
Quantity Required:
(input numbers only)
Card Ref No's:
(leave blank if not sure)
Main Verse Ref No:
(leave blank if providing your own)
Small Verse Ref No:
(leave blank if providing your own)
Your Full Name:
Best contact number: *
We will call to confirm the order
Email:
(no junk or spam will be sent)
 *
Please add the two numbers