Woodgrange Park Cemetery
Burial Order Form
Requested date of burial
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Please note we cannot guarantee this date
Requested Time of Burial
Hour Minutes
AM
PM
AM/PM Option
Length of Deed of Right of Burial Required
*
Burial rights for 50 years (£4000.00)
Burial rights for 99 years (£6300.00)
Child Burial (up to 3ft) with burial rights for 50 years (£2100.00 - funding may be available) Where a burial plot of over 3ft is needed, either a 4ft child plot or an adult plot (if appropriate) will be required. Please see below for details of extending burial rights to 99 years.
Child Burial (up to 4ft) with burial rights for 50 years (£3100.00 - funding may be available). Where a burial plot of over 3ft is needed, an adult plot will be required. Please see below for details of extending burial rights to 99 years.
Child Burials - if you wish to extend the rights to the grave to 99 years, please tick the box below. Please note, where funding is available from the Children's Funeral Fund, this will not cover extending the rights to 99 years, so if you choose this option, you will be liable for the additional cost of £1,200.00
I wish to purchase an additional 49 years on a child burial plot (taking it to 99 years in total).
Name of Deceased
*
First Name
Last Name
Date of Birth
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
This is mandatory if you are seeking funding for a child's burial
Age
*
Date of Death
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Name of Funeral Director to be used
*
Funeral Director's Email
Funeral Director's Phone Number
*
-
Area Code
Phone Number
For coffin burials, please enter size of coffin
Name of Right of Burial Holder (see notes below)
*
First Name
Last Name
Right of Burial Holder's Contact Details
*
Street Address
Street Address Line 2
City
County
Post Code
Right of Burial Holder's Phone Number
*
-
Area Code
Phone Number
Right of Burial Holder's Email
example@example.com
By signing and submitting this form, you are agreeing to abide by Woodgrange Park Cemetery's Regulations
*
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