Memorial Ash Box Order Form
If you would like to order one of our memorial ash boxes, please complete the form below. We will contact you via phone to confirm your request and delivery time frame.

What will be the Total Cost?
The Total cost of your order will be the cost of the Ash Box, plus delivery costs. Postage will be approximately $6.00 to $12.00 depending on your location and the size of the Ash Box ordered.

What Payment methods do you accept?
We accept Cheques, Money Orders & Direct Deposits into our Bank Account. Payment method and total costs will be confirmed with you via phone.

How do I send you a photograph?
Original photographs can be scanned into an image file and attached to this form or you can post the photograph to our street shown below. Every care is taken with your photographs and will be returned with the order.

A sympathetic service is guaranteed

Cottonwood Designs ABN: 20 378 310 345 Personalised memorials, ash box, timber or marble plaques and caskets
Postal Address:	88 Willina Road, Coolongolook NSW 2423 Australia
Ph/Fax:	(02) 4997 7150
Email Address:	hazel.cotton@skymesh.com.au
ORDER FORM
Name: Phone: Email: Delivery Address: Suburb\Town: State: Postcode: Urn\Ash Box Style: --- Please Select --- Hardwood Timber Cross(450x280mm) with writing only. Ashes Box (300x200x150mm) plain Ashes Box (300x200x150mm) with photo frame. Ashes Box (300x200x150mm) with writing only. Ashes Box (300x200x150mm) with frame + writing. Ashes Box (300x200x150mm) + writing lasered picture on timber. Ashes Box (300x200x150mm) with marble plaque + frame + writing only. Ashes Box (300x200x150mm) with marble plaque + frame + lasered picture. Grave Marker Crosses (1300x600mm) White Grave Marker Crosses (1300x600mm) Marble Headstone (300x150mm) with writing only. Marble Headstone (300x150mm) writing & picture Hardwood Timber Plaque (140x140mm) with writing. Large Ashes Box (222x165x100mm) plain Large Ashes Box (222x165x100mm) with photo frame Large Ashes Box (222x165x100mm) with writing only Large Ashes Box (222x165x100mm) with frame & writing Large Ashes Box (222x165x100mm) with writing & picture. Med Ashes Box (195x125x100mm) plain Med Ashes Box (195x125x100mm) plain WHITE Med Ashes Box (195x125x100mm) with photo frame. Med Ashes Box (195x125x100mm) with photo frame WHITE Med Ashes Box (195x125x100mm) with writing only. Med Ashes Box (195x125x100mm) WHITE with GOLD writing Med Ashes Box (195x125x100mm) with frame + writing. Med Ashes Box WHITE(195x125x100) with frame + GOLD writing Med Ashes Box (195x125x100mm) with writing + picture. Marble Plaque/Paperweight (100x100mm) with writing only. Marble Plaque/paperweight (100x100mm) with writing + picture. Small Ashes Box (120x120x100mm) plain Small Ashes Box (120x120x100mm) with writing only. Small Ashes Box (120x120x100mm) with writing + picture. Small Ashes Box (120x120x100mm) with photo frame. Small Ashes Box (120x120x100mm) with frame + writing. Upload Photo: Please Note: Very black photos with no highlights or contrast do not reproduce well on the black marble. Comments and/or Text for Engraving: NOTE: The text to be engraved should not exceed twelve words. Ref No: 00214D55