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Notice of Funeral Booking Form

- Departments

The maximum number of form submissions has been reached. This form is currently not available.
- Please complete all of the details requested below. Once submitted your request will be confirmed by either an or a phone.
- Type of internment required REQUIRED
  If requesting the burial of cremated remains with a coffin burial please enter the details of the cremated remains seperately
  Please fill out this field.
- Select the type of lair required... REQUIRED Please fill out this field.
- If you have a deed for a lair please enter the details.
- Deed - Please indicate your position REQUIRED I have the deed I have lost the deed I would like a replacement (£35 fee at the time of burial & £55 outwith a burial) I would like a deed with a name change (£35 fee at the time of a burial & £55 any other time) For New lair Please fill out this field.
- Add section & lair number for previously owned lair or add 'new lair' Please enter valid data.
- Name of last person interred REQUIRED Please fill out this field. Please enter valid data.
- Requested 'Date' of Internment (to be confirmed by cemetery) REQUIRED
  Requested date will be confirmed by the cemetery
  Please fill out this field. Please enter a date.
- Requested 'Day' of Internment REQUIRED
  Requested the selected day...
  Please fill out this field. Please enter valid data.
- Requested time of Internment (to be confirmed by cemetery) REQUIRED
  Requested time will be confirmed by the cemetery
  Please fill out this field. Please enter valid data.
- Add outside dimensions of coffin (including handles) Please enter valid data.
- Details of the deceased
- Name of Deceased REQUIRED Please fill out this field. Please enter valid data.
- Address of deceased REQUIRED Please fill out this field. Please enter valid data.
- Post Code REQUIRED Please fill out this field. Please enter valid data.
- Place of death REQUIRED Please fill out this field. Please enter valid data.
- Date deceased died REQUIRED Please fill out this field. Please enter a date.
- Age of deceased REQUIRED Please fill out this field. Please enter valid data.
- Funeral Directors details only
- Name of Funeral Director REQUIRED Please fill out this field. Please enter valid data.
- Name of Director/Administrator arranging funeral REQUIRED Please fill out this field. Please enter valid data.
- Funeral Directors (address for invoice purposes) REQUIRED Please fill out this field. Please enter valid data.
- Funeral Directors contact number REQUIRED Please fill out this field. Please enter valid data.
- Funeral Directors email address REQUIRED Please fill out this field. Please enter valid data.
- Applicants details
  For all applications including for a new lair.
- Name of applicant (person requesting the internment or new lair request) REQUIRED Please fill out this field. Please enter valid data.
- Address of applicant REQUIRED Please fill out this field. Please enter valid data.
- Post Code REQUIRED Please fill out this field. Please enter valid data.
- Contact number of applicant REQUIRED Please fill out this field. Please enter valid data.
- Legal Indemnity
  (must be completed in all cases by the applicant)
- Certify that I am (a), (b), (c), and that I have the legal right over this lair for this interment request. I take full responsibility for this request and all information hereby currently given & or any information given erroneously. REQUIRED (a) I am the title deed holder. (b) I am the legal heir of the title deed holder. (c) I am the representative of the title deed holder. Please fill out this field.
- I agree to St Conval's Terms & Conditions relating to my request for a burial with the cemetery.
- Full name - I confirm this is my signature (applicant requesting the burial) REQUIRED Please fill out this field. Please enter valid data.
- By checking the box I accept the Terms & Conditions set by St Conval's Cemetery and the Diocese of Paisley Trustees. (Applicant to tick) REQUIRED Applicant, I agree Please fill out this field.
Submit

Notice of Funeral Booking Form

Please complete all of the details requested below. Once submitted your request will be confirmed by either an or a phone.

Details of the deceased

Funeral Directors details only

Applicants details

Legal Indemnity

I agree to St Conval's Terms & Conditions relating to my request for a burial with the cemetery.