EG-2002 Bench Order Form-Domestic

EG-2002 Cremation Bench-Domestic
Customer/STATE/Loc. #
Please include your state.
Unveiling / Dedication Date:

Month Day Year
Date Date Picker Icon
Contract# / Lot#
Contact E-mail
Name

First Name Last Name
Seat Granite Color
Finish One
Finish Two
Support Granite Color
Finish One
Finish Two
Base Options

4-6 x 1-4 x 0-4-PFT/BRP (no vase) 5-2 x 1-4 x 0-4-PFT/BRP (1 vase) 6-0 x 1-4 x 0-4-PFT/BRP (2 vases)
Granite Color
Finish
Seat Front
Seat Back
Support Front
Support Back
Number of Vases Ordering:
Square Tapered Vase (0-8x0-10):

P2 P5
Granite Color
Turned Vase (0-8x1-0) All Polished:

Import Jet Black Import Gray Gray Marble White Marble
Additional Colors (Not in Stock)
Additional Turned Vase Options

Import Gray and Import Jet Black are the only stock colors. All other colors may be 4 to 6 months for delivery. Please call for current inventory when ordering.
Customer Disclaimer (After reading please sign in the box to acknowledge.)
Eagle Sales Representative
Should be Empty: