Pre-Paid Funeral Plan Application

Thank you for choosing Signature Funerals Limited to organise your funeral.

Below you will see the 4 options available to you to purchase. Select the plan you want and your payment options will appear. If you require any assistance please contact us directly on 01706 829 482 before buying your plan.

IMPORTANT – If you have agreed additional products and/or services to those listed, please contact your Funeral Director directly on 01706 829 482 and they can assist you in your purchase

Your Email

EmailPlease enter your email address

Choose a Plan

Option Selection

Simple £1,200

Signature £3,600

Deluxe £3,890

Premium £4,170

What type of funeral do you require?

Cremation

Cremation or Burial

CremationBurial

Plan Holder's Date of Birth

Date

Payment Terms

Pay In FullPay Monthly

Discretionary Payment

Would you like to leave a sum of money that your next of kin can use towards further personalising your funeral?

Additional Services

Standard Additional Services

Additional Bearer - £55Additional Limousine - £275Horse and Carriage - £1,250Printed Order of Service - £2 per copyVisual Tribute during Service - £50

Additional Services

Floral Coffin Spray - £200Willow / Wicker Coffin - £550Church Service £450Colorful or Picture Coffin - £450

Additional Bearer (4 included)

Additional Limousine

Motorcycle Hearse

Horse & Carriage

Total : £[field39+field51+field46]

Are you buying for yourself?

YesNo

Purchaser Details

First Name

Middle Name

Last Name

Date of Birth

Email

Landline

Mobile

Post Code

Address Line 1

Address Line 2

Address Line 3

City / Town

County

Next of Kin

Full Name

Phone Number

Please confirm that you have read and understand the following...

What is included…

Collection of the deceased by the Funeral Director
A simple basic veneered coffin
Care and preparation of the deceased prior to cremation
Advice and guidance on all aspects of the funeral arrangements including the certification and registration of the death
Transportation of the deceased to the Crematorium Crematorium fees
Return of ashes to family/chosen person*
Any fees payable to Doctors or a Coroner for the issue of death or cremation medical certificates, or Coroners certificates

Things to consider…

There is no Chapel of Rest viewing
There is no service for family and friends to pay their final respects
Cremation only (no burial)
No choice of Crematorium
No additional extras are available for a Simple Plan

*Important Note: The ashes to be returned within C.28 days.

If you are paying by monthly instalments, if you pass away before all your instalments are paid, your family or representatives acting on your behalf will be required to settle the balance of your plan before the Funeral Director can be instructed.

I confirm I have read the above and I am happy to proceed.

By ticking this box, I confirm that I am / the client is responsible for making decisions regarding financial matters and purchases of this nature.

Plan purchaser confirms they understand that they are committing to purchasing a Capital Life Funeral Plan.

I confirm that I/the client have/has confirmed our cancellation policy - where they have 21 days in which to cancel their funeral plan in order to receive a full refund.

Thankyou for completing the application form, upon submission we will review all the information provided and get back to you to confirm.

Application Form

Pre-Paid Funeral Plan Application

Total : £[field39+field51+field46]

Ramsbottom Branch

Haslingden Branch

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