Name

Phone Number

Email Address

I am interested in :

Pre-need grave site for myself or a member of my family

I am interested in the following payment option :

Paying the full amount by cash / check

Paying the full amount by credit card, aproximately 2% higher than the current cash price

Cash discount installment plan - 24 monthly cash/check installments

Charge installment plan - 24 monthly installments

Cash discount installment plan - 36 monthly cash/check installments

Charge installment plan - 36 monthly installments

More extended terms may be arranged; please contact the office if you require longer payment terms. If the plot is on a payment plan and unfortunately needs to be used, the remaining balance of the purchase is due.

As the website can not accept secured payments, please select the submit button or print this form, fill it out, and send it to :

Congregation Beth David
Confidential Cemetary Request
19700 Prospect Road
Saratoga, CA 95070-1464

Upon receipt, a staff member will contact you to arrange a convenient time to discuss your needs.

Please click submit button only once. It may take a few seconds to send.