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Gardens of Peace

Cheshire · Connecticut

Family of Record · Print or save as PDF, fill, and bring to your appointment

You may fill the form on screen, then print or save it as a PDF and bring it to your meeting at the cemetery — or print it blank and fill it by hand.

Gardens of Peace

Cheshire · Connecticut

Next of Kin Contact Information

Name of Deceased:

Next of Kin Contact Information

First Name:

Last Name:

Relationship to Deceased:

Date of Birth:

Street Address:

Town/City:

State:

Zip Code:

Phone:

Email:

Other Contact Information

First Name:

Last Name:

Relationship to Deceased:

Date of Birth:

Street Address:

Town/City:

State:

Zip Code:

Phone:

Email:

Additional Information

Notes:

Signature:

Print Name:

Date:

220 Realty Drive, Cheshire CT 06410
gardensofpeacect@gmail.com
1-203-718-6678

When you're done

Print, save, or email this form

You may bring it to your appointment, save it as a PDF, or use the “Email to cemetery” button to open a draft in your email client with everything you typed, ready to send to gardensofpeacect@gmail.com.

Email to cemetery