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If you prefer to call you order in, Please feel free to call us @ 802-447-8880

Billing Name E-mail Address: Phone Number: Alternate Phone Address 1 Address 2 City Zip Code State Cemetery Information Cemetery Name Street Address Zip State City Have you checked  with your Cemetery for their Regulations Yet ? YES NO * Most Common Such as your place of work. **Please note that there will need to be persons present during regular business hours to accept the delivery and to physically unload the marker. We recommend you select this option if the cemetery does not normally have personnel on site to accept the marker Business Name Bus. Address State ZIP Code City YOU WILL RECEIVE A PROOF OF THE MEMORIAL FOR YOUR APPROVAL BEFORE IT IS CARVED IN STONE GRAVE MARKERS INFO Grave Marker  Design # Granite Color Marker Size in Inches: " Long   x   4" High " Wide   x Dynasty Series Grave Markers Only: VASE NO VASE Grave Marker Inscription Last Name of Deceased First Name Middle Initial Death of Death Date of Birth Information for 2nd Name    (If Applicable) First name & middle initial Any additional information Verses etc. Payment Type Visa Master Card American Express Discover Check Money Order We will call you to confirm the information and take credit card payment. If paying by Check or M.O., this form constitutes a confirmation of order only. The items you ordered will not be custom made until payment is received. Send checks or Money Orders to: Artisan Memorials:   PO Box 739    Bennington, VT 05201 Thank You for your order. We will contact you shortly to discuss your order in more detail.