Please fill out the information below and click
submit to request your coffin rental!
First name:
Last name:
10-digit phone number:
E-mail address:
Street address:
City:
Coffin Color:
Golden Midnight
Sapphire
Churchill Blue
Oak
Rental type:
Closed casket
Open casket
Photo op
with glowing ice
Basic casket cooler
with fog
Casket cooler package
"The Works"
Event date:
Event time:
Event address or major cross-streets:
Comments/additional information:
Please double-check the information
above for accuracy, then click "submit"
below. We will review availability and
respond by e-mail within 72 hours.
Warning!
Clicking on any of the links below will navigate away from this page.
If you have not clicked "Submit" above, and received an order
confirmation, your order is not yet complete!
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