Memorial Garden

for the Interment of Ashes of Members and Friends of First Parish

Application to purchase the right to inter your own or loved ones’ ashes at a future time.

The fee is $600 and is subject to adjustment on a yearly basis.

Before filling out this form, please be sure to read the Memorial Garden rules and procedures.

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    Name

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    Address

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    City

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    State

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    Zip Code

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    Phone

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    Email

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    Name of person to be interred

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    After submitting this form, please write your check for $600 to
    "First Parish Memorial Garden" and send to:

    First Parish Memorial Garden
    First Parish Unitarian Universalist of Arlington
    630 Massachusetts Ave.
    Arlington, MA 02476

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    To submit your form, first fill in the "captcha" field below with the letters you see in the distorted text, then click the "Submit" button.

    If you cannot read the captcha text, click the blue circular arrow button next to the input field to generate a new word.

    Unfortunately, this security step is necessary to prevent malicious software "robots" from filling out First Parish forms and inundating us with submissions.
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630 MASSACHUSETTS AVENUE   ♦   ARLINGTON, MASSACHUSETTS 02476   ♦   781-648-3799

Copyright 2017 First Parish Unitarian Universalist of Arlington

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