Order Form One of the main aims of Solace Reef Ltd is to remove the feeling of being “processed”. This form contains information on many options available to you, however, this is your memorial, your loved ones ashes and where ever reasonably possible we will try to fulfil your wishes. At the end of this form, there is a section where you can detail any wishes or request. We will do our best to make them a reality * = required 1 Details of the Deceased2 Details of the Placement3 Additional Options4 Final Details Details of the DeceasedFirst Name*Middle Name(s)If ApplicableLast Name*Details of Authorised Family RepresentitiveName* First Last Address Line 1*Address Line 2Town*County*Postal Code*Phone*Mobile PhoneEmail* Relationship to the Deceased*If the person named above is different to the person named on the Certificate of Cremation, Solace Reef Ltd will require proof that you have their permission to act on their behalf. We will discuss this with you when we contact you. Preferred Date of the PlacementCurrently we are not able to accommodate bookings over weekends.Preferred Date Choice 1 Preferred Date Choice 2 Preferred Date Choice 3 Additional OptionsAs part of our service to you, we provide transportation of the Solace Stone and up to twelve people out to the Solace Reef site. Do you require additional Boats? 2nd Boat 3rd Boat 4th Boat Each additional boat can carry up to twelve passengers and are priced accordingly. We will confirm the final cost with you. To ensure your safety and comfort we have teamed up with qualified skippers who have all the relevant certification. All boats carry the correct equipment and are fully licensed to carry passengers. Final DetailsIf you have any other requirements that you feel we should know about, please detail them here.Other Requirements This iframe contains the logic required to handle AJAX powered Gravity Forms.