Order Confirmation

Before we can process your payment and complete your order, you must understand the following.

DIRECT CREM

The Topaz plan you are purchasing includes the following:

The Topaz plan you are purchasing does not include any allowance for 3rd party fees. If you choose not to pay for these during your lifetime, then they will need to be paid for, by your representatives, when you pass away.

The ‘Your Simplest’ plan you are purchasing includes the following:

The ‘Your Simplest’ plan you are purchasing has certain limitations. They are:

The Pearl plan you are purchasing includes the following:

The Sapphire plan you are purchasing includes the following:

The Ruby plan you are purchasing includes the following:


If plan is being being paid for by monthly instalments


Where plans are paid for by monthly instalments, if you pass away before all your instalments are paid, your family/representatives acting on your behalf will be required to settle the balance of your plan before the funeral director can be instructed.


I understand, continue

Online Application | VER:15:06:44-17

Application Ref: lcpehhs9c
Partner: 450 [Reload]

Please ensure you have filled out all mandatory (*) fields correctly.

Application Type

Payment Options, Extra Items/Services and Plan Overview


Paying Today

Duration Payment

Total Extras (£)

Discount (£)

[+] Plan Holder (1) Added Extras

 Wicker or cardboard coffin £400.00
Colourful or picture coffin £400.00
Floral coffin spray £275.00
Additional Bearer
Max 4		 £100.00
per bearer
Church Service £350.00
Additional Limo £240.00
per limo

Custom Extras

Please contact Safe Hands Funeral Plans for confirmation of prices.

[+] Plan Holder (2) Added Extras

 Wicker or cardboard coffin £400.00
Colourful or picture coffin £400.00
Floral coffin spray £275.00
Additional Bearer
Max 4		 £100.00
per bearer
Church Service £350.00
Additional Limo £240.00
per limo

Custom Extras

Please contact Safe Hands Funeral Plans for confirmation of prices.

Detailed Overview

Package
Application Type
Base Price
Deposit
Total Extras
Discount
Duration Months
-- --
Plan Total
Total Amount Payable

Applicant Details


Please enter your details, even if you are purchasing on behalf of someone else.



Date of Birth:
/ /



Enter address manually
Address

Plan Holder (1) Details


Plan Holder (1) Details are the same as Applicant


Date of Birth:
/ /



Enter address manually
Address

Funeral Type*:

Extra Burial Details

Please bear in mind that if you wish to be buried, then you will need to purchase a burial plot yourself, directly from whomever owns the cemetery at which you wish to be buried (call Safe Hands Funeral Plans for guidance).


If you already own a burial plot, please input the cemetery location, row, and plot number, in the fields below (if you do not have these details to hand, then once you do have them, simply contact Safe Hands Funeral Plans and we will update your plan accordingly).



Next of Kin Details (1) *


Next of Kin Details (2)

Plan Holder (2) Details




Date of Birth:
/ /



Same address as Plan Holder (1)
Address

Funeral Type*:

Extra Burial Details

Please bear in mind that if you wish to be buried, then you will need to purchase a burial plot yourself, directly from whomever owns the cemetery at which you wish to be buried (call Safe Hands Funeral Plans for guidance).


If you already own a burial plot, please input the cemetery location, row, and plot number, in the fields below (if you do not have these details to hand, then once you do have them, simply contact Safe Hands Funeral Plans and we will update your plan accordingly).



Next of Kin Details (1) *


Next of Kin Details (2)

Correspondence Address (optional)


Correspondence Address (optional)

If the correspondence address is the same as the applicant please leave this blank.

Address

Special Requests


Please Note: This page is completely optional and can be updated on your plan at any time in the future at no extra cost


The headings below are designed to help you capture any special requests with respect to particular elements that you might like your funeral service to include. You can answer as many or as few of these questions as you like.

[SHOW] Plan Holder (1) Special Requests


Are there any particular songs, hymns, or readings that you might like the service at the committal to include?

A typical committal service is 20-30 minutes in length, and normally features up to 3 songs/hymns/readings. Please use the boxes to record up to 3 songs/hymns/readings that you would like your committal service to include.


Service (opening)

Service (during)

Service (closing)

Other Questions


Is there anyone who you would prefer was not given consent to view your body at the chapel of rest? (optional)

Are there any particular charities that you might like people to make donations to? (optional)
Is there a particular dress-code that you would like mourners to adhere to? (optional)

Is there a particular outfit, or perhaps a uniform, that you might like to be laid out in? (optional)


Special Requests

Use this space to record details of any additional items or special requests that the plan is to include but which carry no additional cost - you do not need to detail any "custom extras" which you may have selected on the previous slide.

[SHOW] Plan Holder (2) Special Requests


Are there any particular songs, hymns, or readings that you might like the service at the committal to include?

A typical committal service is 20-30 minutes in length, and normally features 3 songs/hymns/readings. Please use the boxes to record 3 songs/hymns/readings that you would like your committal service to include.


Service (opening)

Service (during)

Service (closing)

Other Questions

Do you consent to your body being viewed at the Chapel of Rest?

Is there anyone who you would prefer was not given consent to view your body at the chapel of rest? (optional)

Are there any particular charities that you might like people to make donations to? (optional)
Is there a particular dress-code that you would like mourners to adhere to? (optional)

Is there a particular outfit, or perhaps a uniform, that you might like to be laid out in? (optional)


Special Requests

Use this space to record details of any additional items or special requests that the plan is to include but which carry no additional cost - you do not need to detail any "custom extras" which you may have selected on the previous slide.

Deposit / Payment Method



Please choose payment method

Please Note: If the payment fails, or is declined for whatever reason and you want to process the payment again, please call the telephone payment hotline on 01924 675 713 quoting the reference (lcpehhs9c)

Cardholder Details

Please enter the name as it appears on the card.



Please select which address your card is registered to.


Or enter it manually...


Please note: If the plan was sold by home consultation, make sure the application documents you submit to us include a Customer Satisfaction Form signed by the customer.
By ticking this box, I confirm that I am / the client is responsible for making decisions regarding financial matters and purchases of this nature.
Plan purchaser confirms they understand that they are committing to purchasing a Safe Hands Funeral Plan.
I confirm that I/the customer understands that there are 21 days in which to cancel the plan and receive a full refund of all monies paid, and that plans cancelled after 21 days are subject to a £495 cancellation fee, deductable from any refund due.