Willow coffin Enquiry Form

Please complete the enquiry form with your details. Steph will respond within 24 hours to discuss how we can help. (If you need a response immediately, please call us directly on the phone number listed on the contact page.)

The data sent will only be processed for the purpose of dealing with your enquiry. Further information can be found in our privacy policy.

Thank you for your enquiry.

Full Name *

Email address *

Telephone Number *

How should we get in touch? Is there a best time to contact you? *

known) to How

Name of the deceased

Date of the funeral (If known)

Funeral Director Contact Information *

Name, Address and phone number / email for the Funeral Director. (When your order is confirmed, I will contact them for any specific details such as coffin measurements and delivery arrangements.)

Will the funeral be a cremation or burial? *

• Cremation
• Burial - Churchyard / Graveyard
• Natural Burial

Would you like to be a part of the weaving process? *

• Yes
• No
• Undecided / Would like to discuss

Please use this space to specify any additional requests or if you have any questions.

Submit