1) Your Name: 2) Phone Number: 3) Email Address: 4) Postal Address: 5) Is your inquiry for? pre-planned funeral?
imminent funeral needs?
someone has passed away? 6) Who would you like to conduct the service? Minister of Religion
Civil Celebrant 7) How many people do you estimate will be attending? 0 - 25
25 - 50
50 - 100
100+ 8) Which Cemetery will be selected? Fremantle
Karrakatta
Midland
Guildford
Other (please specify) 9) What is your Religion? Roman Catholic
Anglican
Buddhist
Muslim
Orthodox
Other (please specify) Comments or other information you would like to add: