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Cherished FurEver Pet Funeral Home & Crematory

CREMATION AUTHORIZATION FORM

CREMATION AUTHORIZATION FORM

Pet Owner’s Name

Pet’s name

Phone Number

Email

Street address

City/State/Zip code

Veterinary clinic name/Ph No.

Type of pet

Pet’s weight

Date of death

Items to be returned to owner:

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Cherished FurEver Pet Funeral Home & Crematory

Cremation Type Fom

Urn Type - Standard wooden urn

Circle Tree of Life

Brass Paws

Tree of Life w/Border

Photobox Urn

CHERISHED FUREVER PACKAGE (premium)

This includes a Clay Paw Print, Fur Clipping, Certificate of Cremation and your choice of one of three pewter urns shown below.

Urn Type - Premium pewter urn

Raku (multi-colored)

Pewter

White

Urn Type - SCATTER URN

Your pet is privately cremated, and the remains returned to you in a scatter urn. This option is ideal for owners who desire to honor their pet’s memory by spreading their remains in a meaningful location. The package includes a clay paw print. Fur clippings and ink prints can be requested individually.

Custom Urn Engraving - $25 (Engraving Limitations: 2 lines of text with a maximum of 12 characters per line)

COMMUNAL CREMATION (NO RETURNS OF REMAINS)

Pets 0 – 50 lbs. - 50$

Pets 51-100 lbs. - 70$

Pets 101-150 lbs. - 90$

Pets 150+ lbs. - 110$

Additions

Additional paw print ($15)

Ink nose or ink paw print ($10)

Keepsake Pewter Urn ($30) blue

Keepsake Pewter Urn ($30) Raku

Keepsake Pewter Urn ($30) Red

Silver Key Chain ($10)

Black Key Chain ($10)

Reddish PhotoBox urn ($40)

Black PhotoBox urn ($40)

Keepsake necklace (Various colored stones - red, blue, green, silver, amber, pink, multi-colored, yellow)($20)

Clay Relief Prints ($25)

New Field:

I certify that I am the owner (or have the right to present the owner) and authorize this cremation and disposition of the cremated remains. I understand that due to the nature of the cremation process, any valuable material will either be destroyed or not recoverable. Any personal possessions accordingly have been either removed or may be destroyed. I further agree that I will indemnify and hold harmless Cherished Furever Pet Crematory, LLC, its officers and employees from any liability, cost, expenses, or claims resulting from this authorization and subsequent disposition. Cherished Furever Pet Crematory, LLC takes no responsibility for cremated remains for the care of which no permanent provision is made within a period of thirty (30) days from collection date, and it is a part of the terms of this authorization that Cherished Furever Pet Crematory, LLC may dispose of cremated remains by any means or method, as and when convenient, if not claimed within the thirty-day period.

Field label

I give my premisson

New Field:

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We are available to receive your calls anytime.

Cherished Furever

cherishedfurever@gmail.com

8911 Dallas Hollow Road Suite 103

Soddy-Daisy, Tennessee 37379

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