Makawao Cemetery Plot Owner Information

Plot Owner Name(s):

Name of Person(s) to be buried in plot:

Mailing Address of Main Plot Owner:
Address 1:
Address 2:
City:
State:
Zip:

Tel. No.:

Cell No.:

E-mail Address:

Designated Plot Owner Representative:
Relationship to Plot Owner:
Mailing Address of Owner Representative:
Address 1:
Address 2:
City:
State:
Zip:

Tel. No.:

Cell No.:

E-mail Address:

The following are other individuals that are allowed to be buried in this Plot:

Acknowledged & Agreed:--------------
By: Plot Owner