Paypal Gravity Forms Test Individual Cremation Pillar OptionsPillar: 12 x 9 x 18 Base: 24 x 14 x 4 Granite ProductSelect a Granite Color (required)* Dark Gray Jet Black Bahama Blue India Red Blue Pearl Name on marker* Brith Date* Death Date* Verse / words of endearment (optional)Six words included. Additional words are $15.00 each. Select Emblems (optional)One small emblem per name plaque is included. Please request desired emblem and our designer will provide emblem options on production proof.Upload a Portrait Drop files here or Select files Max. file size: 100 MB. Size and shape productSelect a Portrait Size & Shape None Oval - 2 1/4" x 2 3/4" Oval - 2 5/8" x 3 3/8" Oval - 3 1/4" x 4 1/4" Tax Price: $0.00 Total Price Price: $0.00 Shipping & Payment InformationName First Last PhoneEmail Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cemetery InformationCemetery Name* Lot, Section and Space (if known) Cemetery City, County, TownshipSpecial Notes or Comments for DesignerNameThis field is for validation purposes and should be left unchanged.
