Bahama Blue Double Headstone

*we recommend completing this form on a computer

Your First name

Your Last name

Email

Phone

Cemetery

County

No Installation needed?

I'd like to pick up this order from the Cookeville office.

Setting Instructions: (Headstone orientation)

Read front of headstone from foot of plot

Read front of headstone from head of plot

Last Name (Engraved-large towards top)

First Name (Engraved LEFT side)

First Name (Engraved RIGHT side)

Middle Name (Engraved LEFT side)

Middle names are optional. Appreviations or maiden names are also accepted.

Middle Name (Engraved RIGHT side)

Middle names are optional. Appreviations or maiden names are also accepted.

Date of birth (Engraved LEFT side)

Will be the month abbreviated:

Aug. 23, 2000

*unless 4 letters /July 23, 2000

Date of birth (Engraved RIGHT side)

Will be the month abbreviated:

Aug. 23, 2000

*unless 4 letters /July 23, 2000

Date of Death (Engraved LEFT side)

Date of Death (Engraved RIGHT side)

Marriage Date (If Applicable)

Month

Day

Year

Size

4' x 6" x 24" Polished 5

Installation

I will pick up a flag to place in the burial plot at Harris Monuments (149 West Spring St. Cookeville)

I'd like to meet the installation team and show them the location of the plot

There is already a plaque from the funeral home indicating the location of the plot.

I am picking this order up at the Cookeville office.

I confirm that all information is accurate, including spelling of names and dates. The cemetery provided is within the counties available.

I understand that a proof will be sent to my email to confirm spelling/dates before the stone is engraved. (Approval of proof required.) Harris Monuments is not responsible for misspellings, if created according to order/proof.

Notes / Comments

Signature

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Total

$3,575