Plot Purchase Application

Once your application has been received, you will be sent maps of the available plots in the chosen cemetery.

Full Name *

Address *

Postal Address If different from above

Day Phone *

Mobile Phone

Email Address

Have you ever lived in the Selwyn District?

Yes
No

If you have lived in the Selwyn District, which town/s?

Cemetery

Denominational Area If applicable

Plot Number (if known)

Row (if known)

Type of Plot

Ash
Full

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