Crypt and Niche Vase Use and Floral Agreement This program is not available for glass front and mosaic niches.

Prior to accepting an order for an abbey crypt, the crypt must be measured for fit. It is agreed that Catholic Cemeteries will supply and install artificial floral arrangements to be placed in a mausoleum vase located on the individual crypt or niche front (where permitted). There will be a one-time fee for the use of the bronze mausoleum vase, provided there is on-going participation in the floral placement program.

The fee will be: Niche Front Vase $ 110.00 Crypt Front Vase $ 250.00

This fee includes installation and maintenance of the vase; vases are leased, not purchased. The vase will be removed from crypt front if the floral program is not renewed by March 1st of the year it expires and a fee will be charged to reinstall the vase if requested at a later date. Floral arrangements will be supplied and installed at four (4) separate times during the year as follows:

SPRING March 1 to May 31 SUMMER June 1 to August 31 FALL September 1 to November 30 WINTER December 1 to February 28

Although we all wish to see the new flower arrangements completed on the first day of the season, the cemetery reserves the right to take up to 14 days at the start of each season to fully change floral arrangements throughout all the cemetery mausoleums. All floral arrangements will be selected by Catholic Cemeteries. The cemetery reserves the right to substitute a floral piece of similar style due to stock shortage, discontinued product or unavailable floral supplies. The selection will reflect the seasonal changes throughout the year. Any floral arrangement that the family may wish to keep should be picked up two (2) days prior to the season ending date. A new series of arrangements will be introduced each year. For crypt vases, the cost for having all four arrangements will be $100.00 beginning March 1st. For niche vases, the cost for having all four arrangements will be $80.00 beginning March 1st. The cost of each program includes: floral arrangement, installation, removal, maintenance and administrative expenses. Floral costs are subject to change each year. Should families wish to begin the program other than on March 1st, they will be charged a pro-rated cost. The placement of vase and floral piece commence the first day of the following season. A notice will go out each January as a reminder of renewal along with a new billing and information on updates or changes to the program, including floral arrangement type changes. Where approved, vases are installed on the lower right corner of a crypt or niche front. For side-by-side companion crypt fronts, two vases may be installed, one on the bottom left corner and one on the bottom right corner. Note: 1) The cemetery’s responsibility to repair and/or replace vase and floral decoration(s) shall be subject to the limitations expressed in the General Planting and Decorating Rules and Regulations of the cemetery. 2) Vases governed by this program are not for sale. 3) The cemetery reserves the right to determine floral type and vase location, placement, and prices. 4) Nothing shall be affixed or attached to the vase and/or floral placement. 5) Orders received are for the first day of next season.

EFFECTIVE 9-1-2011

NEW Orders Only Orders placed between 12/1/11 - 11/30/12

CRYPT & NICHE VASE USE & FLORAL PROGRAM

NAME ON CERTIFICATE (OWNER):___________________________________________________________________

ORDERED BY (YOUR NAME):_________________________________________________________________________

STREET ADDRESS: ______________________________________________ TELEPHONE: _____________________

CITY: ___________________________________________ STATE: _______________ ZIP __________________ NAME OF DECEASED: ________________________________________ MAUSOLEUM: _______________________

CORRIDOR: ___________________________________ TIER:________________ CRYPT #: _____________________

VASE USE FEE: VASE TYPE: CRYPT $250.00 NICHE $110.00 (placement lower right)*

*Side-by-Side Companion Crypt only, indicate left or right placement.

Prices subject to change without notice

FLORAL PROGRAM: DATE ORDER PLACED CRYPT NICHE

DEC. 1ST – FEB. 28TH vase installation March 1st $ 100.00 $ 80.00 (4 seasons - expires 2/28/13) MARCH 1ST - MAY 31st vase installation June 1st $ 75.00 $ 60.00 (3 seasons - expires 2/28/13)

JUNE 1st – AUG. 31st vase installation Sept. 1st $ 50.00 $ 40.00 (2 seasons - expires 2/28/13)

SEPT. 1st – NOV. 30th vase installation Dec. 1st $ 25.00 $ 20.00 (1 season - expires 2/28/13)

Additional ONE YEAR add: $ 100.00 $ 80.00 (expires 2/28/14)* *4 seasons in addition to partial year listed above

Vase installation requested prior add: $ 25.00 $ 20.00 to beginning of next season

TOTAL ORDER: VASE use fee $ ____________________ Payment by: Cash

FLORAL order $ ____________________ Check

TOTAL DUE $ ____________________ Credit Card

By my signature, I acknowledge that I have read the agreement on the back of this application and understand its contents. I agree to follow all cemetery rules and regulations set forth by this agreement. Date: __________________ Signature: _______________________________________________________

(If not signature of original owner, certificate of right of entombment must be presented)

Make checks payable to CATHOLIC CEMETERIES and MAIL or BRING TO APPLICABLE CEMETERY:

QUEEN OF ALL SAINTS CEMETERY 115 WHEELER ROAD CENTRAL ISLIP NY 11722 Tel.: 631-234-8297

OFFICE USE (initial when completed)

Certificate presented ____________________

Plot card checked & marked ______________

Deposit date: __________________________

Deposit by:____________________________

HOLY ROOD CEMETERY PO BOX 182 WESTBURY NY 11590-0182 Tel.: 516-334-7990

HOLY SEPULCHRE CEMETERY 3442 ROUTE 112 CORAM NY 11727 Tel.: 631-732-3460

To process this request: 1. Complete this Form 2. Include Payment 3. If this form is not signed by the original owner, the certificate of right of entombment must be presented at the cemetery office.