Marker Approval Form Please provide the following information to request marker approval and foundation installation. All fields are required. Purchaser Information Name Address City State ZIP Code Phone Number Email Marker Information Layout required before approval. Family Lot YesNo Marker Location Include block, lot, gravespace(s) Marking the Grave of: Date of Death/Pre-Need Marker Style Select OneGround LevelBevelWedge/SlantUpright Monument Separate Base YesNo Material GraniteBronze If Upright Monument, will reverse side be used for other graves? YesNoNA Marker Base Size Marker Height Number of Vases Select One012345 Size and Description of Vase(s) Attach to marker or foundation? Ground vase? Allow for core hole in foundation? If foundation: SideFront CenterNA Length of concrete pad Determined by lot size (length of base + vases + 4 inches) Foundation Charges Minimum charge $100.00 plus taxes Monument Company/Vendor Information Company Name Contact person Email Address City State ZIP Code Phone Number Date of Sale Date Desired in Cemetery
