pre-purchase forms

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" bgproperties="fixed" background="1ab285a1erlcgo.png"> <div> <FONT SIZE="5" COLOR="#FFCC66" FACE="Arial" ><B>Caring Caskets</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="Caring Caskets"><U><B>home</B></U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="About Caring Caskets "><U>About Caring Caskets </U></A>   |   <A HREF="id18.htm" TARGET="_top" TITLE="News and Events"><U>News and Events</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Location"><U>Location</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Our Products and Services"><U>Our Products and Services</U></A>   |   <A HREF="id83.htm" TARGET="_top" TITLE="preneed insurance"><U>pre-need insurance</U></A>   |   <A HREF="id24.htm" TARGET="_top" TITLE="Show Room Price List "><U>Show Room Price List   </U></A>   |   <B>pre-purchase forms</B>   |   <A HREF="id81.htm" TARGET="_top" TITLE="PrePurchase Contract Page 2 of 3 "><U>Pre-Purchase Contract       Page 2 of 3 </U></A>   |   <A HREF="id82.htm" TARGET="_top" TITLE="Prepurchase Contract"><U>Pre-purchase Contract</U></A>   |   <A HREF="id84.htm" TARGET="_top" TITLE="Financing"><U>Financing</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="1aad2c00dkelyh.png"> <bR> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Pre-Purchase Forms:     Page 1 of 3    </I><A HREF="index.htm" TARGET="_top" TITLE="Caring Caskets"><U><I> Back</I></U></A><I>        Page  </I><A HREF="id81.htm" TARGET="_top" TITLE="PrePurchase Contract Page 2 of 3 "><U><I>2</I></U></A><I>  or  </I><A HREF="id82.htm" TARGET="_top" TITLE="Prepurchase Contract"><U><I>3</I></U></A></div> <DIV ALIGN="LEFT"></DIV> <div> <B><U>PREPAID FUNERAL CONTRACT</U></B></div> <div> <B><U>page 1</U></B></div> <div> THIS AGREEMENT entered into this ____ day of _____________________, 20____.</div> <bR> <bR> <div> <B>SELLER:</B><FONT SIZE="3" COLOR="#000000" FACE="Arial" ><B>     Caring Caskets, 28 South College, Suite 17, Fayetteville, Arkansas                                                                   </B></FONT></div> <div> <B>72701, (479) 443-6414</B></div> <bR> <div> <FONT SIZE="3" COLOR="#0000FF" FACE="Arial" ><B>BUYER:</B></FONT><B>     __________________________       </B><FONT SIZE="3" COLOR="#0000FF" FACE="Arial" ><B>BENEFICIARY: </B></FONT><B> </B>______________________</div> <div> <B>               </B>(Name)                                                                                                         (Name)</div> <div>                   ______________________________                                               _________________________</div> <div>                    (Social Security Number)<B>                                                                           </B>(Social Security Number)</div> <bR> <div>                  ______________________________                                                _________________________</div> <div>                            (Address)                                                                                                    (Address)</div> <bR> <div>                   ______________________________                                                _________________________</div> <bR> <div>                   _______________________________                                               _________________________</div> <div>   </div> <div>                   _______________________________                                              __________________________</div> <div>                           (Phone)                                                                                                         (Phone)</div> <bR> <div> Buyer shall notify Seller of any changes of address.  An additional delivery cost shall be required if delivery is to be made more than 50 miles from Fayetteville, Arkansas as a result of the change of address.</div> <bR> <div> <B><U>MERCHANDISE AND SERVICES</U></B><B>:</B> </div> <bR> <div>      Pursuant to A.C.A §23-40-109, Seller hereby agrees to sell and Buyer(s) hereby agree to buy the following described merchandise and services:  Regardless of the cost of the merchandise and services at the date of the beneficiary death.</div> <bR> <div> 1<FONT SIZE="1" COLOR="#000000" FACE="Arial" >st</FONT> Choice:  Burial casket _______________________    Metal Gauge________________</div> <div>                     </div> <div>             Exterior Color  ______________________    Interior Color _______________    </div> <bR> <div>                     Brushed Top and Sides?  Yes,  No                     Has Gasket?  Yes,   No </div> <bR> <bR> <div> 2<FONT SIZE="1" COLOR="#000000" FACE="Arial" >nd</FONT> Choice:  Burial casket _______________________     Metal Gauge________________</div> <div>                     </div> <div>             Exterior Color ______________________     Interior Color _______________    </div> <div>  </div> <div>                     Brushed Top and Sides?  Yes,  No                    Has Gasket?  Yes,   No </div> <bR> <bR> <div> <B>DELIVERY</B>:      <FONT SIZE="3" COLOR="#000000" FACE="Arial" >   ______ at time of execution of this Agreement.                            </FONT></div> <div>                    </div> <bR> <div>                             ______ at time of death of Beneficiary.  <B>Buyer or Buyer's family/relative is to </B></div> <div> <B>                                  give Seller Reasonable notice of this date.</B></div> <div> <A HREF="id81.htm" TARGET="_top" TITLE="PrePurchase Contract Page 2 of 3 "><U><B>PAGE 2</B></U></A></div> <bR> <div> <B>                         </B></div> <bR> </td> </tr></table></body>