Name:
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Last Name:
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Job Title:
Business or Cemetery:
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Street Address:
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State:
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Zip:
Bus Phone:
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Mobile Phone:
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Fax:
Email:
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How did you find us?:
Please Select
Magazine Ad
Legacy Mark Web Page
Cemetery Show
ICFA Website
Referral
Cemetery Website
Find-a-Grave Site
Other
Please select items below necessary to process your request
I am interested in the following:
Literature & Demonstration CD:
Interested
Quotation/Pricing:
Interested
Details for Quotation
Please provide me a quotation for:
Office Management
Quotation
Cemetery Mapping
Quotation
Accounts Receivable
Quotation
Training/Support
Quotation
Data Conversion
Quotation
Consultation
Quotation
# of Developed Acres:
Please Select
Less than 5
Between 5 & 10
Between 11 & 15
Between 16 & 20
Between 21 & 25
Between 26 & 30
Between 31 & 35
Between 36 & 40
Between 41 & 45
Between 46 & 50
Between 51 & 55
Between 56 & 60
Between 61 & 65
Between 66 & 70
Between 71 & 75
Between 76 & 80
Between 81 & 85
Between 86 & 90
Between 91 & 95
Between 96 & 100
Between 101 & 105
Between 106 & 110
Between 111 & 115
Between 116 & 120
Between 121 & 125
Between 126 & 130
Between 131 & 135
Between 136 & 140
Between 141 & 145
Between 146 & 150
Between 151 & 155
Between 156 & 160
Between 161 & 165
Between 166 & 170
Between 171 & 175
Between 176 & 180
Between 181 & 185
Between 186 & 190
Between 191 & 195
Between 196 & 200
Greater than 201
Multiple Cemetery? :
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Single Cemetery
Multiple Cemetery
Non-Profit? :
Please Select
Non-Profit Operation
For Profit Operation
Paper Map Quality:
Please Select
Excellent
Very Good
Good or Average
Fair
Poor
No Maps Available
Number of graves to Map:
*Required for mapping. Please include all graves sold and unsold.
Comments or Questions:
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