Thank you for choosing Lifestyle Coffins. This is form is for Funeral Arrangers only. Please fill out the form with as much detail as you can. On receipt of your order we will contact you to confirm the details.
Order Number *
Date Required *
Ash Box only - No coffin
Coffin Size *
I also require a matching Cremation Ash Box *costs apply*
I also require a matching Grave Marker (Invocare Only)