TRADITIONAL TRIBUTES ORDER FORM
( Please Note A Minimum of 3 days notice is required on all Tributes in this section )
VIEW
FULL RANGE
NAMED TRIBUTE
SHEAF
OASIS SPRAY
COFFIN SPRAY
PILLOW
CUSHION
HEARTS
POSY
POSY PAD
WREATH RING
CROSSES
KISSES
OPEN BOOK
GATES OF HEAVEN
BASKET
NAMED TRIBUTE LETTERING
No of LETTERS
*
Do not count ANY spaces in total i.e DEAR WIFE is 8 Letters
LETTERING COST £
SHEAF
SMALL - £25
MEDIUM - £40
LARGE - £50
COLOUR CHOICES
*
FLORIST'S CHOICE
ALL WHITE
PINK / WHITE
YELLOW / WHITE
RED / WHITE
ORANGE / WHITE
PURPLE / WHITE
BLUE / WHITE
SHEAF COST £
OASIS SPRAY
SMALL - £30
MEDIUM - £40
LARGE - £50
COLOUR CHOICES
*
FLORIST'S CHOICE
ALL WHITE
PINK / WHITE
YELLOW / WHITE
RED / WHITE
ORANGE / WHITE
PURPLE / WHITE
BLUE / WHITE
OASIS SPRAY COST £
COFFIN SPRAY
2FT £ 90
3FT £ 110
4FT £ 130
5FT £ 150
COLOUR CHOICES
*
FLORIST'S CHOICE
ALL WHITE
PINK / WHITE
YELLOW / WHITE
RED / WHITE
ORANGE / WHITE
PURPLE / WHITE
BLUE / WHITE
COFFIN SPRAY COST £
PILLOW ( flower based )
SMALL - £50
MEDIUM - £70
LARGE - £85
PILLOW COST £
CUSHION ( flower based )
SMALL - £50
MEDIUM - £70
LARGE - £90
CUSHION COST £
FULL HEART ( flower based )
SMALL - £40
MEDIUM - £50
LARGE - £65
FULL HEART COST £
OPEN HEART ( flower based )
SMALL - £35
MEDIUM - £45
LARGE - £60
OPEN HEART COST £
POSY
SMALL - £25
POSY COST £
POSY PAD ( flower based )
SMALL - £37
MEDIUM - £47
LARGE - £57
POSY PAD COST £
WREATH RING ( flower based )
SMALL - £35
MEDIUM - £50
LARGE - £60
WREATH RING COST £
CROSS ( Flower Based )
18" £ 45
2FT £ 60
3FT £ 75
4FT £ 90
5FT £ 110
CROSS COST £
KISSES ( Flower Based )
Single x £ 40
Single X £ 80
Double xx £ 75
Double XX £ 150
KISSES COST £
OPEN BOOK ( flower based )
Open Book - £105
OPEN BOOK COST £
GATES of HEAVEN ( flower based )
GATES of HEAVEN-£105
G of H COST £
BASKET
SMALL - £30
BASKET COST £
Base Colour
Feature Spray Colour ( Please call for other colours )
red
yellow
pink
purple
white
RIBBON COLOUR
FLORIST'S CHOICE
RED
NAVY BLUE
WHITE
BLACK
YELLOW
SILVER
TURQUOISE
LEMON
DARK PINK
DARK GREEN
DUSKY PINK
PURPLE
CLARET
BLUE
LILAC
GREEN
SILVER LETTERING
NOT REQUIRED
AS SPECIFIED BELOW
ENTER WORDS HERE
ENTER Number of LETTERS / NUMERALS
LETTERING TOTAL £
TOTAL PAYABLE
FUNERAL DETAILS
Deceased's Name
*
FUNERAL DATE ( 3 clear days notice required , otherwise please phone )
*
-
Day
-
Month
Year
at
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
DELIVER TRIBUTE(S) TO:
*
Funeral Directors
Deceased's Home
Collect from Shop
FUNERAL DIRECTORS
*
Adam & Greenwood - Billericay
Bennetts - Wickford
Butler & English - Laindon (Basildo)
Co operative funeral care - basildon
co operative funeral care - billericay
co operative funeral care - wickford
Farrer F E - Billericay
F E J Green & Sons - Basildon
Pitsea Crematorium - Basildon
S Carter & Sons - Wickford
T Cribb & Sons - Pitsea (Basildon)
West & Coe - Pitsea ( Basildon)
TRIBUTE DELIVERY ADDRESS
*
Street Address Line 1
Street Address Line 2
Town
*
Basildon
Pitsea
Laindon
Billericay
Wickford
County
Post Code
*
Collection Date / approx time
*
-
Day
-
Month
Year
at
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
30
Minutes
AM
PM
MESSAGE ON TRIBUTE CARD(S) (please specify which messages are to go on each card )
*
Customer's Name
*
Customer's Phone Number
*
Customer's E-mail
*
My Products
*
GBP
Description
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
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