EG-2010 Bench Order Form-Domestic

EG-2010 Cremation Bench-Domestic
Customer/STATE/Loc. #
Please include your state.
Unveiling / Dedication Date:

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

First Name Last Name
Seat Granite Color
Support Granite Color
Finish (Choose One)

PFT Balance Sawn Seat with P2 Sawn Top BRP Supports All Polished Seat with P4 Sawn Top Supports
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)
Base Granite Color
Seat Front
Seat Back
Support Front
Support Back
Litho Color
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
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