Old Cremation Request Form

Cremation Request Form
Name

First NameLast Name
Pet Name
Phone Number
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
We offer three options for cremation of your pet:
- Scattering Tube/Velvet Pouch Package: This package includes either a scattering tube (used if you intend to scatter your pet's ashes) or a velvet pouch with a personalized metal tag and a hair clipping. You can also opt to purchase any additional memorial items you would like (e.g. necklaces, paw prints, urn stands, etc).
- Urn Package: This package includes one of four optional urns (cedar, carved wood, blue metal, or tan metal), a personalized metal tag, and a hair clipping. You can opt to purchase a name plate for the urn and any other memorial items you would like.
- Communal Cremation Package: Your pet's ashes will not be returned to you but instead respectfully interred on a family plot of land in Wyoming owned by the cremation service. You can purchase a selection of additional memorial keepsakes that do not include cremated remains.
Please note that there are other keepsakes available that what we list on this form; if you are interested in other keepsakes please let us know and we can show you the full catalog and help facilitate their purchase from EcoPet directly.
Cremation Options (You must choose one of these.)*

Scattering Tube/Velvet Pouch Package ($140)Urn Package ($125)Communal Cremation ($40)
Urn Package Options

Cedar Memorial UrnCarved Wood UrnDecorative Metal Urn - BlueDecorative Metal Urn - Tan
Additonal Cremation Options
prevnext( X )
Cedar Memorial UrnEnter description
$98.00 Quantity



Carved Wood Urn
$98.00 Quantity



Decorative Metal Urn - Blue
$98.00 Quantity



Decorative Metal Urn - Tan
$98.00 Quantity



Blue Scattering Tube
$18.00 Quantity



Brass Name Plate
$14.00 Quantity



Urn Display BaseCan include custom inscription
$60.00 Quantity



Satin Pouch
$ Free Quantity



Circle of Life PendantAvailable in Midnight Steel or Rose Gold
$65.00 Quantity



Round Urn Pendant with PawsAvailable in Bronze or Pewter
$125.00 Quantity



Infinity Urn Pendant
$190.00 Quantity



Paw Print Urn Pendants - Paw Print PendantAlso available in silver
$60.00 Quantity



Ink Nose Print
$20.00 Quantity



Ink Paw Print
$20.00 Quantity



Memorial Paw Print - White
$40.00 Quantity



Acrylic Paw Print
$40.00 Quantity



Acrylic Paw Print
$40.00 Quantity



Fur Clipping
$18.00 Quantity



Total

$0.00
Wood Urn Name Plate Engraving - Two Lines

Please enter any text you would like engraved on the urn name plate.0/20
Brass Name Plate Line 1
Brass Name Plate Line 2
Necklace Engraving
Communal Cremation

Ashes spread on family-owned, undisturbed land in Wyoming ($45.00)
Keepsake Options

Black Necklace ($44.50)Silver Necklace ($44.50)Heart Stone ($44.50)Necklace Engraving ($22)
Paw Print Options

Clay Paw Print ($44.50)Acrylic Paw Print ($44.50)Ink Paw Print ($20.00)
Nose Print Options

Acrylic Nose Print ($44.50)Ink Nose Print ($20.00)
AUTHORIZATION

By signing below, you give Eco Animal Cremation permission to complete your pet's cremation. We promise to provide the most gentle, respectful, and natural cremation possible.
Signature

Clear
Signature Date

MonthDayYear
Date
Should be Empty: