Your Name (required)

    Your Email (required)

    Plot Name (Type N/A if Not Assigned):

    Latitude (Will auto populate):

    Longitude (Will auto populate):

    Accuracy (meters - Will auto populate):

    Additional Information

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    How to Complete the Form

    Please follow the instructions below to submit the required information. This form is designed to help us capture accurate details for the memorial services you need.

    1. **Your Name (required)**:
    – Enter your full name. This field is mandatory as it helps us identify who is making the submission.

    2. **Your Email (required)**:
    – Provide a valid email address where we can send confirmations and any necessary follow-up correspondence. This information is essential for us to maintain contact with you.

    3. **Plot Name (Type N/A if Not Assigned)**:
    – If the grave plot has a designated name, please enter it here. If no name has been assigned to the plot or if it is unknown at this time, please type “N/A”.

    4. **Latitude (Will auto populate)**:
    – This field will automatically be filled with the latitude of the location once you allow access to your device’s geolocation. Ensure that your location services are enabled to allow for accurate data retrieval.

    5. **Longitude (Will auto populate)**:
    – Similar to the Latitude field, this will automatically capture the longitude once geolocation permissions are granted. Please make sure your device’s location settings are enabled.

    6. **Accuracy (meters – Will auto populate)**:
    – This field indicates the accuracy of the geolocation data captured. It will fill automatically once the location data is available. The number here represents the radius of certainty for the location coordinates, measured in meters.

    7. **Additional Information**:
    – Use this space to provide any extra details or specific information you would like us to know about the memorial service or the plot. This could include special requests, questions, or any other relevant information.

    Important Notes:

    – **Location Services**: To automatically fill the Latitude, Longitude, and Accuracy fields, you must enable location services on your device. If you encounter issues, refer to your device or browser settings to allow access to your location.
    – **Privacy**: We respect your privacy. The information provided is secured and used strictly for the purpose of processing your request related to the memorial services.

    Once you have filled out the form, please double-check your information for accuracy before submitting.