Ceremonial Doves of Tidewater Agreement
CUSTOMER INFORMATION (please PRINT clearly)
Person(s) the Event is for:________________________________________________
Coordinator’s Name: ______________________________________________
Address:________________________________________________________
City, State, Zip: ___________________________________________________
Home Phone: _________________________ Cell Phone:_________________ Email:_______________________________
EVENT INFORMATION Release Location:________________________________________________
Address:_______________________________________________________
City _________________________________________________ Zip:_____________
Event Date: _________________
Start Time: ____________ Release Time: __________
Funeral Packages (see link):
______The Spirit Dove Release (one Dove)
______ The Trinity Release (one plus 3 Doves)
______ Additional Doves
______Service in the Line of Duty Release: No Charge (subject to availability)
Wedding Packages (see link):
_______ Bride and Groom (2 Doves):
_______ God’s Blessing (2 followed by 3 Doves)
_______ Proclamation of Love (2 followed by 8 Doves)
_______ Additional Doves
I have read “Terms and Conditions” found at ceremonialdovesoftidewater.com and agree to them.
Signature_____________________________________
Print Name____________________________________
Date_____________________________________
Please make check to: Don Kane ( note: Ceremonial Doves)