Genealogy/Burial Search Application

Please provide the following information:

Burial Search Location:______________________________________________

Name of Deceased: __________________________________________________


Please make checks payable to All Faiths Cemetery


To pay by credit card please provide:
Discover/Master Card/Visa/American Express

Acct# _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _ /

Expiration Date (Mo/Yr) _ _ / _ _

Card Holder's Name: ____________________________________________________

Card Holder's Address: ___________________________________________________

                                    ____________________________________________________

Phone Number:_______________________________________________

Card Holder's Signature:_________________________________________