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ORDER FORM / INVOICE

ALOHA BOAT CHARTERS BURIAL AT SEA

QUANTY
ITEM
PRICE
AMOUNT
.
Unattended Memorial Service
$150
$
.
Attended Service Viewed From Oceanside Pier or Shore
$300.
.

.

Pets Ashes Scattered At Sea

$50 Unattended

.

.

Wheelchair If Needed

Included

$

.

Flowers - Tax Included

$30. & Up

$

.

Wreath ---Biodegradable  (Special Order)

Call For Price

$

.

Scattering Permit From State Of California Vital Records   

$20.

$

.

Special Requests and Other Coastal Locations from Shore

$  Call

$

.

CA. State fee to amend certification of death,if death occured over one year ago in California. 

$20.00

$

Print

.

TOTAL.

ALOHA BOAT CHARTERS OCEANSIDE HARBOR CALIFORNIA--760-754-0012                                alohaboatcharters@cox.net           Fax  760-754-9109

Deceased Name:____________________ Date of Service___________________