Flush/ Bevel Memorial Order Form

Slants and Upright Memorial Designs
Directions:

Complete form below. You will receive a rendering via email for approval, before your memorial is produced, along with an invoice. No memorial will be ordered unless paid for in full. Shipping to your cemetery is included. Once payment is received, items ship in 8-12 weeks.
Memorial Size*
Pricing for gray granite. Please contact us for unlisted sizes.
Memorial Color*
Granite Designs
Memorial Design #*
Designs can be found in link above.
Name of Deceased*
Date of Birth*

MonthDayYear
Date
Date of Death*

MonthDayYear
Date
Sentiment/Memory Phrase
Please limit to 35 characters.
Your Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Name of Cemetery
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Yes - 100% risk-free cemetery approval insurance +$75.00No - I am responsible for product approval from my cemetery
Once your order has been submitted, the designer assigned to you will contact you directly with your invoice quote. Once your invoice is paid, you will receive a rendering of your memorial for your final approval.

If you have any questions or have a specific design request, please call: 877-840-2050 or email us at orders.licmemorials@gmail.com!
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