FREE Order Form
images/cemslogogray.jpg (9K)


"FREE" Order Form

Reserve your cemetery plot and marker today. Click on an ordering link above to go to the selected form to place your "FREE" order. These forms are to be used for all "FREE" 30-day inspection orders and the "Wall of Honor" for our deceased heroic veterans. Please check only one(1) of our three cemeteries or "WALL" per order. After submitting your first order (by clicking on the SUBMIT button), click on the RESET button and enter the information for the next order.

Our "Wall of Honor" is a totally "FREE" service dedicated to honor all those men and women who gave their lives in the line of duty for our country. Our "Wall of Honor" is a simple memorial of gratitude. We realize there are several "Walls" on the internet, but in our opinion, a hero's name deserves countless opportunities to be recognized, remembered, and honored.

PLEASE REMEMBER TO ONLY "SUBMIT" ONE (1) ORDER AT A TIME.


"Wall of Honor"

Name of person placing order:

Your e-mail address:

Veteran's Name (F,MI,L):

Branch of Service (USN, USMC, etc.):

RANK/RATE:

Which War or Conflict (WWII,VN,etc.):

State formerly resided:

                     Return to TOP of page.


"Wildrose PUBLIC Cemetery"

Name of person placing order:

Your e-mail address:

Deceased's Name (F,MI,L):

Date of Birth (month/day/year):

Date of Death (month/day/year):

City and State where buried:

Cemetery name:

Please feel free to add a prayer, verse, poem, or other words of rememberance about your loved one.

                     Return to TOP of page.


"Wildrose VETERANS Cemetery"

Name of person placing order:

Your e-mail address:

Deceased Veteran's Name (F,MI,L):

Date of Birth (month/day/year):

Date of Death (month/day/year):

Branch of Service (USN, USMC, etc.):

RANK/RATE:

Which War or Conflict (WWII,VN,etc.):

State formerly resided:

City and State where buried:

Cemetery name:

Please feel free to add a prayer, verse, poem, or other words of rememberance about your loved one.

                     Return to TOP of page.


"Wildrose PETS Cemetery"

Name of person placing order:

Your e-mail address:

Pet's Name:

Type of Pet (cat,dog, etc.):

Breed Type (poodle,Persian, etc.):

Pet's Birth Date (month/day/year):

Pet's Death Date (month/day/year):

Please feel free to add a prayer, verse, poem, or other words of rememberance about your pet.

                     Return to TOP of page.