AGREEMENT FORM for DOVE RELEASES – This agreement helps both of us

 

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)
 

Don Kane

32 Barclay Rd.

Newport News, Va. 23606

donkane62@verizon.net

Cell (757) 812-0247

 

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