A C Richards & Son
Station Approach
Perranporth
Cornwall, TR6 0LH
01872 572027

Final Wishes Online Form

Please take a moment to fill in the online form below.

Name:

Contact Telephone Number:

Contact Email:

Date of Birth:

Address:

Cremation or Internment     Cremation Internment

Religious or Secular Service    Religious Secular

Place of Worship:

Purchased Burial/Ashes Plot:

Hearse:

Limousine(s):

Music:

Hymns:

Floral Tribute:

Charitable Donations:

Newspaper notices:

Executor:

Additional Info:

Please tick this box if you would NOT like to receive a quote for a pre-paid funeral.    

 

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