Документы



Your information \"Keepers. Graves care\" icon

Your information "Keepers. Graves care"

НазваниеYour information "Keepers. Graves care"
Дата04.07.2013
Размер21.66 Kb.
ТипДокументы
скачать

Your information

"Keepers. Graves care"


ORDER FORM

Please, fill both pages of this form and send it by mail:

Tashkent city,______________________________________________________

Or send us by fax or e-mail.


1.YOUR DATA

Addressing:Mr./Mrs./Other____________________________________________________________

Sirname:____________________Name__________________Father’s name_________________________

Address:____________________________________________________________________________

________________________________________________Postal code:___________________________

Telephone number:(home)____________(office)________________(mobile)___________

E-mail:___________________@________________________________________________________


2.INFORMATION ABOUT GRAVE

Full name and address of cemetery /place of burial ______________________________________

_____________________________________________City_______________________________

______________________________________Postal code(if known)_________________

Name (names) on memorial and any dates or inscriptions_______________________________

_________________________________________________________________________________

_________________________________________________________________________________

Date(s) of birth and/or burial, if known_________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Description according to which it is possible to find grave

________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Number of grave___________________________________(if you don’t know the number of grave we can find it for single payment in size of 25)


^ 3.NOW, CHOOSE SERVICE PACKAGE WHICH IS MORE SUITABLE FOR YOU.

Put mark only in one cell

__________________________________________________________________________________

Service packages Amount of visits per year Payment

___________________________________________________________________________________ Single visit 1 40

___________________________________________________________________________________

Two times visit 2 70

___________________________________________________________________________________

Seasonal visit 4 120

___________________________________________________________________________________

Seasonal visit Plus Two 6 160

___________________________________________________________________________________ Monthly visit 12 250

___________________________________________________________________________________

If you chose "Seasonal visit Plus Two" or " Monthly visit " and/or you want to have additional two service visits in special dates according to your choice, please, fill below:

Special date 1 DAY/MONTH _________________________________

|_______________/________________|


Special date 2 DAY/MONTH _________________________________

|_______________/________________|


^ 4.CHOOSE FRESHLU CUT FLOWERS.

Fill this section if you want laying on freshly cut flowers to the grave during every visit.


Put mark only in one cell

__________________________________________________________________________________

Service packages Amount of visits per year Payment

___________________________________________________________________________________ Single visit 1 10

___________________________________________________________________________________

Two times visit 2 20

___________________________________________________________________________________

Seasonal visit 4 35

___________________________________________________________________________________

Seasonal visit Plus Two 6 55

________________________________________________________________________________ Monthly visit 12 100

___________________________________________________________________________________

That is to say if you chose "Seasonal visit"(for times in a year), cost of this service will make up 35 without cost of flowers and transportation expenses.


^ 5.SEASONAL BULBS/PLANTS.

Fill this section if you want to plant seasonal plants /bulbs on the grave.(Not more than three visits in a year: Spring/Summer/Autumn).


Put mark only in one cell

___________________________________________________________

Payment

___________________________________________________________

Spring 15

___________________________________________________________

Spring / Summer 30

___________________________________________________________

Spring / Summer /Autumn 45

__________________________________________________________

Please, take into consideration, if you chose “Single visit”, you can use only our spring plantings. If you chose “Two times visit”, you can use spring or spring/summer plantings.


______________________________________________________________________________

If you have some flower preferences besides flowers, bulbs and plants we provided you (see attached list), please, inform us and we would try to help you:


_______________________________________________________________________________


6.TOTAL AMOUNT.

Total for item 3. ________________________________

Total for item 4. ________________________________

Total for item 5. ________________________________

_____________________

TOTAL: _____________________

Do you want us to find number of the grave?(Single payment): _____ _____

YES _____ NO _____

If “YES”, please, pay additionally 25. Thank you!



Похожие:

Your information \"Keepers. Graves care\" iconДокументы
1. /Community Contribution to Tuberculosis (TB) care.doc
Your information \"Keepers. Graves care\" iconVacancy information

Your information \"Keepers. Graves care\" iconVacancy information

Your information \"Keepers. Graves care\" iconVacancy information

Your information \"Keepers. Graves care\" iconVacancy information

Your information \"Keepers. Graves care\" iconVacancy information

Your information \"Keepers. Graves care\" iconVacancy information

Your information \"Keepers. Graves care\" iconVacancy information

Your information \"Keepers. Graves care\" iconVacancy information

Your information \"Keepers. Graves care\" iconVacancy information

Разместите кнопку на своём сайте:
Документы


База данных защищена авторским правом ©uz.denemetr.com 2000-2015
При копировании материала укажите ссылку.
обратиться к администрации