Marker Order Form

To receive a quote for the purchase of a granite marker for your loved one, please fill in the required information below.

Any information provided here will supersede any previous selections. However, all terms and conditions listed on your original order will apply. All niches or crypts require additional help, please call 714-525-1575 or e-mail here.

Upon receipt of your order quote, a Loma Vista Memorial Park representative will contact you within three (3) business days. If you have questions, please call 714-525-1575.
Your Name: *

First Name Last Name
Phone Number: *

Area Code Phone Number
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Contact E-mail: *
DECEDENT'S NAME FOR NEW ORDER: *

First Name Last Name
SECOND NAME ON MARKER (FOR COMPANION MARKERS ONLY):

First Name Last Name
DUPLICATE MARKERS ONLY
Fill out this section of the order form ONLY if you are duplicating an existing marker at Loma Vista Memorial Park.
FULL NAME ON EXISTING MARKER:
What would you like to duplicate?

Granite Color Lettering Emblem(s) Size Mirror Image
Use the following sample markers to visualize what your loved one’s standard, deluxe or custom marker could look like. Please note that only selected styles are shown in this guide and that photo tiles and emblems shown are optional and are an additional fee.

To see a complete catalog of marker styles, e-mail here.
Granite Designs: (Please Select One)
OR IF YOU HAVE A CUSTOM DESIGN IN MIND,PLEASE SUBMIT CUSTOM DESIGN HERE: (Optional)

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MARKER SIZE: *

24" x 12" 28" x 16" 18" x 9" (INFANT LAWNS ONLY)
LETTER STYLE:
GRANITE COLOR: *

Diamond Black Ruby Red Pearl White Oxford Gray Indian Mahogany Jade Green Laguna Blue Galaxy Black Violet Mist Blue Pearl (Additional $210 +tax)
INSCRIPTION: *
Please include ALL WORDING to be placed on the marker, including the name(s), dates and any additional inscription.
PHOTO TILES:
(Please select photo shape, color & size)
RECTANGLE SIZES

8" x 10" 5" x 7" 4" x 5"
HEART SIZES

4" x 4"
OVAL SIZES

8" x 10" 5" x 7" 4 ¼" x 6" 3 ¾" x 5" 3 ¼" x 4 ¼" 2 ⅝" x 3 ⅜" 2 ¼" x 2 ¾"
SQUARE SIZES

4" x 4"
PERMA-ETCH PORTRAITS:
The PermaEtched photos are engraved directly into the surface of the granite. To ensure the best contrast, the Diamond Black Granite needs to be used for this process. The cost for any size PermaEtched photo is an additional $300 plus CA sales tax. We will size your photo according to the quality of the photo provided and the space available on your memorial. A color or black and white photo can be provided for this process, but the finished product will be produced in black and white.
UPLOAD PHOTO:

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Additional Comments:
Once your quote is submitted, a representative will get back to you with a quote within three (3) business days.
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