BOOKING FORM Date of booking: Full Name of Deceased: Address of deceased: Date of Death: Age: Next of Kin details: (Including, name, address, telephone & email address) Funeral Director Name and Address (if applicable) Date and time of funeral: Funeral Type: • Burial [ ] • Interment of Ashes [ ] • Other [ ] Plot Description • New Single Plot [ ] • Double Plot [ ] Plot Location and selection (for office use only) Environmentally friendly Coffin/Shroud type: Coffin / Shroud/ Urn Dimensions: Approximate number of mourners attending? Terms & Conditions Signed? Price Agreed: (see price list) Payment method: (See price list for payment details) Cheque [ ] Made payable to: Mr. H A Edmunds. BACS [ ] Account name: Mr. H A Edmunds Account number: 00851844 Sort Code: 30-97-41 The Estate Office, Cholderton, Nr Salisbury, Wiltshire, SP4 0DR www.woodlandburialscholderton.co.uk Telephone: 01980 629203 Email: [email protected]