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Funeral Care Direct
A direct cremation conducted with respect, dignity and care
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0800 015 8080
Services
About Us
Areas We Cover
Pre-Paid
Prices
FAQ
Blog
Free Quote
Contact
Pre-paid Plan Quote
Person to be covered by the plan
Full Name
*
Telephone No
*
Email
*
Address
*
Joint Name
(if a joint plan required)
Full Name
Telephone No
Email
Address
Is the plan to pay out on the first or second death?
*
First death
Second death
Is the plan holder or purchaser different from above?
*
Please Choose
Yes (please add details below)
No
Full Name
Telephone No
Email
Address
Next of kin or representative's details
*
Correspondence Instructions - please send correspondence to:
*
The person covered by the plan
The plan holder or purchaser
Other, please specify
Other persons details for correspondence
I/we would like to pay for the plan by
One single payment
12 months
24 months
36 months
48 months
60 months
Ongoing monthly payments
Quote me for all options
Age of plan holder(s) at next birthday
*
Tel: 0800 015 8080
info@funeralcaredirect.co.uk
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