Book a burial
Complete the form below to book a family-led interment service.
Full Name of Deceased
*
First Name
Last Name
Date of burial
*
-
Day
-
Month
Year
Please put the month, day and year.
Cemetery for burial
Please Select
Taita Lawn Cemetery
Wainuiomata Garden of Remembrance (Ashes only)
Plot location
Please put down the plot number if you know it.
Contact details for Next of Kin or Family Representative:
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Funeral Director/Company Organising the funeral
Funeral director's phone number
-
Area Code
Phone Number
Submit
Should be Empty: