HIGHER GROUND MEADOW.  NOTICE OF INTERMENT            

Full name of deceased  ______________________________________

Full address of deceased ______________________________________

______________________________________

______________________________________

Date of death and age  ______________________________________

Pre-purchase ref if applicable ______________________________________

Place of death   ______________________________________

Name of person arranging the funeral & their relationship to the deceased  ____________________________________________________________

Address   _____________________________________________________

 _____________________________________________________________

Telephone and email  ______________________________________

Name of Funeral Director & contact No   ____________________________

______________________________________

Description of coffin or urn  ______________________________________

Exact external dimensions of coffin:     Length__________Depth__________

Width at: Head_____________Shoulder______________Foot____________

Type of Grave:  Meadow______________Woodland___________________

Date and Time of interment   _________________________________

Name of officiator   ______________________________________

I (WE) BEING THE APPLICANT, HAVE READ,UNDERSTOOD AND AGREE TO ABIDE BY THE CEMETERY REGULATIONS, PARTICULARLY THOSE APPERTAINING TO THE PLACEMENT OF MEMORIALS AND FLOWERS ON GRAVES, ALSO TO THE ENVIRONMENTAL SUITABILITY OF COFFINS.

I (we)clearly understand the way in which Higher Ground Meadow is managed by annual sheep grazing at the end of the flowering season to encourage the wild flowers and benefit the wildlife.

Signature of next of kin ___________________________________