Integrity Burial Boxes LTD
Pet Urn Order Form
Your Box selection will be adorned with a
Custom engraved brass plate bearing the personal
information provided below.
Order Information
Shipping Information
Pet’s Name
Personal Inscription
TYPE OF BOX-URN
PRICE
WHITE PINE
$ 129.00
OAK
$ 129.00
WALNUT
$ 129.00
CHERRY
$ 129.00
15.00 for shipping/handling
Virginia residents add 5.0% sales tax
Name
Street Address
City
State
Zip
Phone
Fax
Email
Upon submission of this form, we will call to obtain your credit card information.
PHONE 540-777-1233
TOLL FREE 1-866-552-5268
INTEGRITYBOXES@AOL.COM
INTEGRITY BURIAL BOXES LTD.
6420 COMMONWEALTH DRIVE
ROANOKE, VIRGINIA 24018
PLEASE CHECK WITH YOUR VET BEFORE ORDERING DIRECT