Booking Form

I/WE WISH TO PURCHASE 
(For 100 years)

One single depth grave …………………………………………………………………………………………        £400.00
Two adjacent single depth graves ………………………………………………………………        £800.00
Single Interment or scattering of ashes ……………………………………………        £150.00

One tree. (Native Broadleaf)  ………………………………………………………………………        £75.00

Please specify variety of tree: …………………………………………………………………………

The interment fee will be payable at the time of the funeral.


Signed ………………………………………………………………………………………………………………………………  Date ………………………………………………

Print Full Names ………………………………………………………………………………………………………………………………………………………………………

Address ………………………………………………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………………………………………………………………

Postcode ……………………………………………………………………………………………………………………………  

Telephone Number ………………………………………………………………………………………………………


Please make cheques payable to Willoughby Farms Ltd. and return this form, 
along with payment, to:

The Estate Office, Elsom Farm, Bonthorpe, Alford, Lincs, LN13 9TD