Print out this form and use it when shipping your ashes (or use your own with similar information on it). Thank you.
| Ashes on the Sea Shipping Form "Helping families fulfill their desire for a Memorial Service at sea." P.O. Box 710693 San Diego, CA 92171 Phone: 877-277-2799 Internet: http://www.ashesonthesea.com | Instructions here Following the instructions on this form when shipping your ashes helps us serve you better. It saves time and expense by making sure from the very start that all laws and requirements are being met, and all paperwork is in order. Thank you. |
| Sent From: (the following information is required) | Ship To: | |
| Name: Address: City, State ZIP: Phone: Email: Your Relationship to the deceased: | Ashes on the Sea P.O. Box 710693 San Diego, CA 92171 Please request "registered mail" or "express mail" when shipping | DATE SHIPPED:
|
qty | description | unit price | amount |
| Scattering at Sea, basic fee, unattended | $ 195.00 |
|
| View From Shore, basic fee | $ 395.00 | ||
| Flowers: | |||
| $ 40.00 | ||
| $ 170.00 | ||
| $ 35.00 | ||
| |||
| Videotaping and Memorabilia: | |||
| Video/Photo log | $ 35.00 | ||
1 | Certificate noting location, date, vessel | Included | FREE |
| Additional Certificates, ordered at this time and sent to same address | $ 20.00 | ||
| One Internet webpage designed and dedicated to your loved one - hosted 6 months | $ 50-75.00 | ||
| Other requests (please describe - use back of this form if necessary): | |||
TOTAL DUE: | |||
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We know that this time may be very difficult for you. We want to help you with this process in any way we can. Please don't hesitate to call us if you need any help at all! 877-277-2799 Following the instructions on this form when shipping your ashes helps us serve you better. It saves time and expense by making sure from the very start that all laws and requirements are being met, and all paperwork is in order. Thank you. Pay by credit card? NAME ON CARD: ______________________________ BILLING ADDRESS: ____________________________ ______________________________________________ CARD TYPE: VISA/MASTERCARD (circle one) CARD # ______________________________________ EXPIRATION DATE: _____/_____ AMOUNT AUTHORIZED: $_______________ |
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