New Client Registration Form

New Client Registration Form

Please complete the form below!
Customer Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail
example@example.com
Deceased Information
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Cemetery Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grave-Side location?
Would you like to provide any specific decorations for the grave side? Please check with the cemetery to make sure these items may be placed at the grave-side?
Please share any important information you feel you'd like us to know?
Would you like to be present at the time of cleaning?
Services*
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Removal of Dirt & Debris with Head/Grave stone CareOne time cleaning.
$80.00 Quantity



Grave-Side Cleaning & CareBi-weekly cleaning and polishing of your loved ones head/Gravestone and the area around it. Fresh flowers to be place at the headstone if applicable.
$300.00 Quantity
Item subtotal:$0.00



A Joyful Occasion (5-10 People)"Make It A Joyful Occasion" offers a heartfelt and comforting way to honor the memory of your loved ones. When it’s been a while since you’ve visited their resting place, we provide a warm and inviting conference room where you can gather with friends and family to remember and celebrate their life. Enjoy thoughtful refreshments and canvas painting as you share stories, laughter, and cherished moments, turning remembrance into a joyful and meaningful occasion! Cleaning of the grave-side will take place immediately after the celebration. This option is only offered on Saturdays and Sundays. 10a.m.-3p.m.
$375.00 Quantity



Total

$0.00

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New Client Registration Form

Deceased Information