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CarboLabGem
Memorial Diamonds
Pencils from Ashes
Prices
About Us
Contacts
Order form
How to order
Order Pencil CarboLab Gem
Client information
Name
(*)
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Surname
(*)
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Phone
(*)
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Email
(*)
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Address
(*)
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City
(*)
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Country
(*)
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ZIP
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Pencil from ashes
Quantity:
(*)
Please select:
1
2
3
4
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Beloved
per
son
Name, Surname
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Born on
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Deceased on
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Beloved pet
Name
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Born on
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Deceased on
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Other
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Carbon materials
(*)
Ashes
Hair
Combination of Ashes & Hair
Fur
Flowers
Other
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Materials sent from a funeral home or crematorium
Yes
No
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Address
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ZIP
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Phone
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Country
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Place
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Email
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The pencil to be delivered to:
(*)
Funeral home
Crematorium
Client`s address
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Date
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I agree with the Purchase agreement
(*)
Yes
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Purchase agreement
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