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Online Pricing Inquiry Form

Please use the following form to apply for a quote for a funeral service that can cater to your needs.

1) Your Name:
2) Phone Number:
3) Email Address:
4) Postal Address
 
5) Is your inquiry for?
pre-planned funeral?
imminent funeral needs?
someone has passed away?
6) Which service would you prefer?
Burial
Cremation
7) Who would you like to conduct the service?
Minister of Religion
Civil Celebrant  
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8) How many people do you estimate will be attending?
0 - 50
50 - 100
100 +
9) Which Cemetery will be selected?
Fremantle
Karrakatta
Midland
Guildford
Other (please specify)
10) What is your Religion?
Roman Catholic
Anglican
Buddhist
Muslim
Orthodox
Other (please specify)
11) Do you have a budget you need to keep withinr?
below $3000?
$3000-$6000?
above $6000?
Not applicable.
Comments or other information you would like to add:
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