Garfield Mills Inc.
Burial Request

Please complete the below form for grave request.

Funeral Home Name *

Name of Deceased *

Burial Date *

mm/dd/yyyy

Burial Time *

Burial Location *

(Include Cemetery, Garden Name and Section # as applicable)

Burial Type *

Setup Type *

Tent Required *

Yes

No

Special Instructions:

*

Send me a copy of my responses

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