Book a Memorial

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Reservation Details

Title *

First Name *

Surname *

Phone Number

Email Address *

Address

House Name/Number *

Street Name *

(Day Death No

Town/City *

Country *

Postcode *

Burial Type *

Full Marble Memorial £4,999*
Border Only £3,500*
Headstone Only £2,999*

Inscription Details

Grave No *

Full name of the Deceased *

Date of Birth *

Date of Death *

Choose 1 Quranic inscription: *

Option 1:
Surah Yunus (10:62)
Option 2:
Surah Fajr (83:27-30)
Option 3:
Surah Al-Baqarah (2:156)

Inscription explanatory details:
The sections at the top and bottom of the image are included in the displayed price
First name and surname are included in the displayed price, anything else is additional inscription text
There are 3 Quranic Ayat options, please choose 1

Additional Inscription Text (Extra £2.80 per letter, Max 200 Characters)

Inscription Text Cost

Price: £2.80

Cost Breakdown

Payment Details

Total

Item Quantity Qty Total

There are no products selected.

Full Marble Memorial £4,999* 1 £4,999.00

Border Only £3,500* 1 £3,500.00

Headstone Only £2,999* 1 £2,999.00

Choose 1 Quranic inscription: - Option 1:
Surah Yunus (10:62) 1 £0.00

Choose 1 Quranic inscription: - Option 2:
Surah Fajr (83:27-30) 1 £0.00

Choose 1 Quranic inscription: - Option 3:
Surah Al-Baqarah (2:156) 1 £0.00

Inscription Text Cost 0 £0.00

Total £0.00

£0.00

Bank Details Bank:

Lloyds Account Name: Jamia Islamia Account Number: 29514960 Sort Code: 30-93-54

Full Payment

Full Payment
Payment Plan

I Will Make the Final Payment on *

Initial Deposit Amount (Minimum £500) *

Deposit to be Paid on *

Monthly Amount (Minimum £50 per month) *

To be Paid on (Day of month) *

No. of Months *

Guarantor's Details

Guarantor's First Name *

Guarantor's Surname *

Guarantor's Phone Number *

Guarantor's Email Address *

Address

Guarantor's House Name/Number *

Guarantor's Street Name *

Guarantor's Town/City *

Guarantor's Country *

Guarantor's Postcode *

Confirmation *

I understand that the order is complete when full payment is received and the inscriptions have been finalised

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Book a Memorial

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Cost Breakdown

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