Holiday Grave Decoration - Order Form

Use this safe online order form to request Rolling Oaks Memorial Gardens' Holiday Grave Decoration Program selections.

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Name of Loved One:
Sect/Lot/Space/Niche if known:
Select One:
- Decorated Grave Blanket 3'x7' Spruce $175
- Decorated Wreath 16in Noble Fir $150
- Color/Decor Preferences (bow- pine cones- berries & poinsettias are standard)
Color/Decor Preferences (bow, pine cones, berries & poinsettias are standard):
Would you prefer the photo of your decoration to be emailed to you or mailed via USPS?
- Email
- Mail via USPS
Payment Method: Please charge my credit/debit card:
- Visa/Master Card
- American Express
- Discover
Card Number:*
Cardholder's Name as it Appears on Card:*
Consent*
I authorized this charge to my card:
Required Confirmation:
Phone
This field is for validation purposes and should be left unchanged.

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