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For those who prefer not to use our online form, Prime Cremation offers a PDF version for your convenience. Simply email us at [email protected], and we will promptly send you the PDF form.

The form below uses Stripe as a secure payment gateway, allowing you to make an online payment easily.

This is an AGREEMENT between you, the purchaser, and the funeral provider concerning services and merchadise.

ARRANGEMENTS FOR:

What's your file number?(Required)

Deceased Name(Required)

Given Name(s) as seen on birth certificate Last

Deceased Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

PURCHASER:

Name of Purchaser(Required)

Given Name(s) as shown on identification

Email(Required)

for receiving order confirmation

Enter Email Confirm Email

Billing Address of Purchaser(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Check Yes If The Person Authorizing Disposition is Different From Purchaser

Yes

PERSON AUTHORIZING DISPOSITION:

Name of Person Authorizing Disposition(Required)

Given Name(s) as seen on Identification Last

Address of Person Authorizing Disposition(Required)

Street Address Address Line 2 City

PURCHASING AGREEMENT

PROFESSIONAL & STAFF SERVICES (Embalming is not required by law)

Price:

COMPLETING DOCUMENTS

Price:

TRANSFER SERVICES

Price:

FACILITIES - GENERAL

Price:

CREMATION FEE

Price:

CPBC ADMINISTRATIVE FEE

Price:

SHIPPING FEE

Price:

DEATH CERTIFICATE (Non-taxable)

Price:

NOTARIZED COPY OF DEATH CERTIFICATE ($20.00 each added to final total)

Price: $ 20.00 CAD

CREMATION CERTIFICATE ($20.00 each added to final total)

Price: $ 20.00 CAD

Total Mandatory Fees (Excluding GST)

ADDITIONAL SERVICES:

Check Yes If Cremation required sooner than 4 business days including day of arrangement

Yes

Cremation required sooner than 4 business days

Price:

Check Yes If Witness Cremation Required

Yes

Witness Cremation (8:30 A.M. Only)

Price:

Check Yes If Letter of Contents Required

Yes

Letter of Contents

Price:

Check Yes If Cremation Tray (when remains weigh in excess of 220 pounds) Required

Yes

Cremation Tray

Price:

CASKET UPGRADE Product Gallery Link
(excluding PST)

Casket Upgrade Choices

Belmont Birch

Price:

Basic Legacy Oak

Price:

Diamond Aspen

Price:

Faith Wood Bar

Price:

Minor Wood Bar

Price:

Horizon Birch

Price:

Transporter Blue

Price:

Add Urn Product Gallery Link
(excluding PST)

Urn Upgrade Choices

Athenian Leaf

Price:

Langley

Price:

Traditional

Price:

Add Scattering Urns Product Gallery Link
(excluding PST)

Scattering Urn Upgrade Choices

Reflections

Price:

Journey (For Water Scattering)

Price:

Dove

Price:

Golfball

Price:

Rainbow

Price:

PST (applies to all upgrades)

Price: $ 0.00 CAD

GST (applies to all items except death certificates)

Price: $ 0.00 CAD

Total Fees (Plus Applicable Taxes)

Terms & Conditions

The purchaser authorizes OKANAGAN INVESTMENT GROUP INC. to perform the requested services and furnish the merchandise indicated and supply any other items incidental to the requested services.

When the contract is signed by the purchaser at any place other than the funeral provider’s place of business and the contract has not been substantially performed, the purchaser has 24 hours in which to cancel the contract, without penalty, but subject to payment for services provided to the time of cancellation. If the funeral provider must substitute goods or services previously contracted for under the Service Contract, the funeral provider must inform the purchaser and the purchaser may cancel that part of the contract.

The purchaser and the person authorizing disposition hereby appoints, by way of his/her signature on this agreement, OKANAGAN INVESTMENT GROUP INC. to act as his/her agent in the procurement of certain services for the sole purpose of conducting the services outlined in this agreement.

The purchaser agrees to pay to OKANAGAN INVESTMENT GROUP INC. the total balance due on execution of this agreement. If payment is not received in full on execution of this agreement a charge of 1-½% per month (18%per annum) will be applied to any balance due, until full payment is received.

A funeral provider in the Province of British Columbia must pay to the Business Practices and Consumer Protection Agency (CPBC), as a part of the fees payable for the funeral provider's licence to operate, administrative fee for each death registered in the Province of British Columbia under the Vital Statistics Act by a funeral director employed by or under contract to the funeral provider. Human remains will be sheltered, pending disposition, at Cypress Funeral & Cremation Services ®, 2980 Smith Drive, Armstrong, BC, V0E 1B1.

Purchaser - Authorized Signature(Required)

Full Legal Name Today's Date

Disposition - Authorized Signature(Required)

Full Legal Name Today's Date

Credit Card

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Comments

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