Malayalam Pathram

Condolence Wreath Details

Ordinary Wreath	38 USD
Special Wreath	52 USD

Note: If we couldn't reach by the time of funeral,
condolence flowers will be sent to the concerning address given.
Please fill the form below ...

(* All fields are mandatory for submitting the form)


Enter Your Details
Name
Email
Address
City
State
Postal Code (exceptional)
Country
Phone with Code

Enter the details to sent the wreath	--------------------------------------
Select type of Wreath
Dead person's name
Sex
Church / Funeral Place
Date of Funeral (dd/mm/yyyy)
Time of Funeral
Contact person in Kerala
Contact person Mobile/Phone number
Message on the Wreath
Address to deliver the Wreath (Wreath can be delivered only in Kerala)
Landmark if possible;
District
Postal Code (exceptional)
Phone with Area Code
Payment Mode
	Note: Please verify all the details given above before submitting the form.

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