Request Form - Millington Monuments - Granite Monuments, Grave Markers, Cemetery Headstones - 9192 Belsay Road - 4878 Beckwith Street

PLEASE NOTE: This form is for us to send you an accurate estimate for the order you would like to purchase. This is NOT a transaction at this time. Simply fill out the information below and we will give you an estimate within a few business days. Thank You!

How did you hear about our website?

If Funeral Home, Cemetery or Other please specify:

Cemetery Name & Location:*

Memorial Type:*

Individual

Companion

Please refer to Memorial Types for options.

Granite Color:*

Please refer to Granite Colors for options.

Please choose a design. The design is carved into the face of the granite memorial. Please refer to the Designs page for your selection The choices available here are the more commonly chosen. There are hundreds of other choices available. Please remember that the preferences you are giving us are the start of your decision process and you won't have a final quote for your choices until we have had a chance to talk to you and prepare an estimate.

Infant:

Single Flush:

Companion Flush:

Single Slant:

Companion Slant:

Single Monument:

Companion Monument:

Double Internment:

Ledgers:

Special Monument:

1st Deceased's Name and Dates of Birth and Death:*

2nd Deceased's Name and Dates of Birth and Death:

(If companion monument)

Additional text to be carved on memorial face:

Questions or Comments:

Customer Information

Name:*

Email:*

Phone:*

Fax:

Address:*

Please include city, state, and zipcode.

Best method of contact:*

Phone

Letter