Hutt City Headstone Application
Your details
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Details of the deceased
Name
First Name
Last Name
Date of death
-
Day
-
Month
Year
Date
Plot information
Cemetery
In which cemetery would you like to place the headstone?
What kind of burial?
Standard lawn burial
Standard lawn ashes
Monumental
Other
Plot location (if known)
Put the block and the plot number here if you have this information.
Type a question
Child 1-12
Child Garden under 1 year
Memorial tree
Ashes Garden
Proposed headstone
Is this application for a new headstone?
New headstone
Addition to existing headstone
Materials to be used
Granite, bronze, etc.
Height (mm)
Width (mm)
Depth (mm)
Upload a sketch or photo of the headstone
Browse Files
Drag and drop files here
Choose a file
Cancel
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Description of text and graphics
What will be said on the headstone? Will there be images?
Cemetery administration use only
Deceased person ID number
Interment No.
Funeral director or Invoicing ID No.
Submit
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