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1190 Twinney Dr, Newmarket, ON L3Y 9E3, Canada
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Intake Form
notjustink@outlook.com
February 1, 2025
February 25, 2025
WWW.MONACOMONUMENTS.CA
905-392-0778
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INTAKE FORM
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Name of Cemetery:
*
Cemetery Address:
Name: directly Payment
Caretakers Name:
Cemetery Phone:
*
Name of interment rights holder:
*
First
Last
Name of interment rights holder Address:
*
Name of deceased
*
First
Last
Relation:
*
Birth dates:
*
Death dates:
*
Interred:
*
Yes
No
Monument to be centered over: (Grave Plot)
Description:
(If your Cemetery does not have a row or section please write 0 in the required fields)
Plot:
*
Section:
*
Row:
*
Foundation size:
Foundation cost:
Payment enclosed:
Yes
No
Care and Maintenance Payment enclosed: (C&M)
Family will make C&M payment directly to cemetery:
Yes
No
Any comments or questions?
Email
*
Submit
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