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Billing To Funeral Home Customer
Funeral Home Contact First Name
Funeral Home Contact Last Name
Funeral Home Contact Email Address
Funeral Home Contact Phone
Name of Deceased *
Gender Male Female
Funeral Home Reference Number
Delivery Location Other
Delivery Address (if needed)
Date of Calling or Service
Time of Calling or Service
Prior Family Viewing Yes No
Delivery Date *
Order notes
This order will be added to your house account. Rockcastle Florist will send periodic invoices, requesting payment for orders placed via the Bartolomeo Funeral Home house account.
Your personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our privacy policy.
