Presque Isle Township
Presque Isle Township
Presque Isle Township

 
 
 

   
Cemetery Plot Reservation Form
Fields Marked * are Required.
Reservation for Section:*
OS1OS2OS3AC
Row:*
Plot #:*
*PLOT RESERVED FOR (FIRST, MIDDLE, LAST NAME):*
Address:*
Phone:*
Email:
Date of Birth:*
Date of Death:
Veteran?*
yesno
if "yes", of which war?
*INFORMANT/NEXT OF KIN (FIRST & LAST NAME):*
Address:*
Phone:*
Email:
*RESERVATION IS BEING MADE UNDER THE FOLLOWING TOWNSHIP PROPERTY OWNER (FIRST & LAST NAME):*
Property Address or Tax ID #:*
OPTIONAL INFORMATION: Include maiden or "a.k.a" name, name of mother and/or father, or any additional comments for record keeping or historical purposes.
THE RESERVATION FEE IS $100.00 PER PLOT. PLEASE INDICATE WHETHER OR NOT PAYMENT HAS BEEN SENT. NOTE: RESERVATIONS WILL NOT BE CONSIDERED COMPLETE UNTIL PAYMENT HAS BEEN RECEIVED AT THE TOWNSHIP HALL.*
yesno
Access Code
Please Enter the Access Code *
  
  

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