PLEASE COMPLETE ALL PAGES. You may attach your own list of references. ONE (1) Bank Reference and a minimum of THREE (3)Trade References are required for processing. Please fax or email the signed & completed form to 516

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Application for a burial permit At the time of this burial application the Applicant may also apply for one additional burial licence / reservation. See Section 2 of this form. Refer to Part 1 Burial Placements and Buria

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