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Cremation Plan Sign-Up Form

1. Your Details
2. Nominee Details
3. Additional Details

Your Details

This form allows you to sign up for a cremation plan for yourself or for a couple (such as your parents), and you will be the person paying for it.


If you’d like to purchase a plan on behalf of someone else, please call us on 0800 046 5660.

Title

Your Details

This form is to sign up for a cremation plan for yourself, and you’re the person paying for it. If you want to buy a plan for someone else, call us today on 0800 000 000.

Title
Birthday
Day
Month
Year

Your Nominated Representative

This is the person you are happy for us to discuss the plan with, and who you authorise to make amends on your

behalf. When the time comes, they may be the person who will contact us and handle the cremation. If you ever need

to change who this is, just give us a call.

Title

Single payment : 1495 £


Your Details

This form is to sign up for a cremation plan for yourself, and you’re the person paying for it. If you want to buy a plan for someone else, call us today on 0800 000 000.

Title
Date of Birth
Day
Month
Year

Your Nominated Representative

This is the person you are happy for us to discuss the plan with, and who you authorise to make amends on your

behalf. When the time comes, they may be the person who will contact us and handle the cremation. If you ever need

to change who this is, just give us a call.

Title
What are your wishes for your ashes?
Hand returned to Your Nominated Representative.
Scattered in a place of beauty and serenity (see our website or call for more info).
I don’t know yet.
Hand returned to somebody else:
How would you like to pay for the plan?

You can secure a funeral plan with either a single payment, or you can choose to pay in installments. Please choose one of the options below:

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