Soul Delivery Form

Please complete this form and return it to the address below together with your donation (cheque/money order to JEN WAI TONG). We will then organise a soul delivery ceremony for you

To be completed by person requesting Soul Delivery

Name.............................................................................................................(M/F): ...........

Address ..............................................................................................................................................

Date of Birth: ............................................ Occupation:...................................................................

Marital Status: ............................................ Number of Children: ..........

Phone(Home Number): .............................................(Wk): .............................................

Religion: ...........................................................Donation by Obligation £............

Date:....................................

Name of Deceased Friend/Relative/Pet...........................................................(M/F): ..........

Address of burial site (if known)..................................................................................

Date of Birth (if known): ............................................ Date of burial (if known).............

Religion: ..........................................................