Memorial Order Form
Our expert design consultants will create a proof from the information you provide. If you would like to speak with someone directly please call (204)334-4721. To view our catalog click this link: https://docs.google.com/presentation/d/19vv5DPFIHyWTPwfUxZ7EgEDmNnX6roDKkHM6RDl6DjQ/edit?usp=sharing
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Email *
Cemetery / where the memorial will be placed:
Name(s) on memorial:
Date of Birth:
MM
/
DD
/
YYYY
Date of Death:
MM
/
DD
/
YYYY
Date of Birth:
MM
/
DD
/
YYYY
Date of Death:
MM
/
DD
/
YYYY
What would you like the memorial to look like? Consider colour, shape, wording, images, and upgrades like gold leaf, laser etching, colour paint, and ceramic portraits. Please provide as much detail as possible. *
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