Post Death Application Form - Binning Memorial Wood
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1
2
3POST DEATH
APPLICATION FORM
Who this form is for:
Funeral Directors and/or those
responsible for arranging a funeral.
COMPLETE > PRINT > SIGN AND SEND TO:
Binning Memorial Wood Ltd, East Fenton, North Berwick, East Lothian, EH39 5AH
:
YOUR DETAILS
Full name
Relationship to the deceased
Address
Postcode
Telephone No (Inc STD)
Email
DETAILS OF FUNERAL DIRECTOR (leave blank if covered above.)
Company name
Address
Postcode
Telephone No (Inc STD)
Email
INTERMENT REQUEST IN BINNING MEMORIAL WOOD.
Please ensure you have the following documents and details when sending the application form to us.
If you do not, please send in as soon as possible.
Check list:
Registrar’s burial form
Original Right to Burial Certifi cate (if pre-purchased)
Requested Day, Date and Time of Interment:
Date (day/dd/mm/yyyy)
Time (between 10.00am and 3.30pm)
Please allow at least two working days notice prior to interment, excluding weekends and bank holidays.
DETAILS OF DECEASED
Title (Mr / Mrs / Ms / Other)
First Name and Initials
Surname
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Parent category: Life