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Name of contact *

Who should we contact?

Phone Number *

Contact phone number

Email *

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Location of Stone Works *

Cemetery or location address Eg Echuca Cemetery, lawn section

Title of proposed stone works

eg. "JONES"

Name of Right of Interment Holder?

CEMETERIES ONLY Only the ROI holder or their agent can authorise memorial works. Required by the Cemetery. **Not mandatory for DPJ queries, but will be required before work commences**

Masonry Service Query *

Please tick nature of query Full Monument Headstone & Base Other Stone works Additional Lettering Recondition of existing

Comments

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