CUSTOMER NAME
EMAIL ADDRESS
PHONE
SHIPPING ZIP CODE
BENCH STYLE
1ST COLOR
2ND COLOR
Please describe any phrase or carving that you would like on the bench.
FAMILY NAME
1ST GIVEN NAME
2ND GIVEN NAME
1ST BIRTH DATE
1ST DEATH DATE
2ND BIRTH DATE
2ND DEATH DATE
Lettering
Note: Some benches do not allow enough room for inscriptions.
BENCH QUOTE
CONFIRM EMAIL ADDRESS