HEADSTONE PHOTOS

We have now made it possible for you to order a photo of a Loved One, Family Member, or Friends headstone. There is a small fee for this service which will help maintain the on going cost of this website.

The fees for this service are as follows:

	1 photo for $ 10.00
	3 photos for $ 25.00

Please print out the following form and send it with your check or money order payable to:

Thomas E Burger
P.O. Box 745
Hilton, NY 14468

Once we receive your payment we will be able to send the photos to either your home mailing address or in digital format to your E-mail address which ever you prefer.

Note: If more then one name is ordered please print a copy of this form for each name that you order.

Please supply the following information:

If you know the following:

	Grave location: ____________
	Lot location: _____________
	Section: _________________
	Division: _______________
	Year of death: ___________

With cemetery records we can locate the headstone with out any of the above information; however we will have to make sure you supply the full name of the deceased to do this.

Click here for a printer friendly version of this page and use it as your order form.

Please state if photo’s are to be sent to:

___ Home Address Or ___ E-mail

Name _______________________________________________________
Address _____________________________________________________
City ____________________________ State _______ Zip _____________
E-mail _______________________________________________________

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