| Resin setting colour: |
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| would you like the ashes or hair to be visible or hidden?: |
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| Name of deceased or name for certificate of authenticity: |
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| Notes for any other requests or additional info to add (enter NO if not required)- more than one colour, more than one set of ashes or hair etc: |
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| Please let us know if you were referred / recommended by anyone so we can thank them: |
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