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Booking Enquiry

Please complete the form below and we will be in touch as soon as possible. If your matter is urgent, please call us directly on 07730 005 240 — we are available 24 hours a day, 7 days a week.

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Your Details

First Name *

Last Name *

Email Address *

Contact Number *

Your relationship with the deceased *

Which service are you enquiring about? *

About the Deceased

First Name *

Last Name *

Marital Status

Date of Birth

Date of Death

Last Occupation (if known)

Address & Location

Address Line 1 *

Address Line 2 (optional)

City / Town *

Postcode *

Where did they pass away? *

Where are they resting now? *

Additional Information

Is the coroner involved? *

Has the death been registered? *

Do they have a pacemaker? *

Would you like to attend? *

Where would you like to attend? *

How do you wish to receive the ashes? *

Are you seeking help from the Department for Work & Pensions (DWP) to help pay for the funeral? *

Any additional information or questions

I understand that direct cremation does not include viewings at the chapel of rest, and I agree to the Terms & Conditions. *

We will respond as soon as possible. For urgent matters please call 07730 005 240.

Contact Us

Booking Enquiry

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