Cemetery Plot Purchase Form

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Adams Page

* Member First Name

* Member Last Name

* Member Email

* Member Mobile Phone

* I plan to pay my Cemetery Plots by:

How many plots would you like to purchase?

Are you paying by check or credit card/ACH on file?

How many months would you like your plot purchase spread over?

* This purchase is for said plots referred to on the map as:

Indicate plot location, if known, in the above field.

* I/We am/are in agreement with the above purchase plan and understand that no deed to the plot(s) will be issued until complete payment is made in full

I/We am/are in agreement with the above purchase plan and understand that no deed to the plot(s) will be issued until complete payment is made in full

Total

Tue, January 19 2021 6 Shevat 5781