Authorisation Certificate to the Surrey Pet Cemetery
Name: Mr Mrs Miss Ms (Initials):
Address: 
 
 
 
Post Code: Telephone No:
Pets Name:
Communal Cremation: 
Special Cremation: Cremains to be scattered at the cemetery:  

Cremains returned in scatter box:  

Cremains returned in casket with name plate:  

Cremains Burial:  Owner to attend:   Yes/No
Burial:  Owner to attend:   Yes/No
Cause of death if to be buried: 
Veterinary Practice: 
 
 
 
 
 
Date:
 
Signature:
 

Please hand this Authorisation to your Veterinary Practice

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