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* 1. Contact Name, Phone number and Email.

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* 2. What size headstone do you require?

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* 3. What colour glass would you like?

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* 4. Would you like a custom shape for your headstone? (please describe below)

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* 5. What would you like the inscription to say?

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* 6. Would you like to include images etched into the surface of the glassor slumped into the back

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* 7. Will you require a ceramic photograph?

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* 8. Where is the headstone to be shipped to? (this will be kept private and confidential)

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* 9. Do you have any specific additions such as legacy technology or badges etc

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* 10. When do you require the headstone by?

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