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Coffin Info Inquiry

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Coffin Inquiry Information Form

Name *

First

Last

Address

Date

Email *

Please enter your email, so we can follow up with you.

Phone *

Coffin *

Direct Cremation Casket
MDF
Plywood
Would like to know more details

Size

8
9
8XL
9XL

Handles

Silver
Gold

Lid Screw

Fan
Cross

Finish

Bare
Paint
Stain

Lining

None
Ub calico
B Calico
Satin

Add On

Pillow
Top Sheet

Message