Pre-Purchase Contract Page 2 of 3 BACK
PURCHASE OPTIONS/PRICE:
Buyer(s) agree to pay the sum of $________ for the above-referenced merchandise and services.
Casket Cost: $_____________
Tax: $_____________
Local Delivery: $_____________ (within 50 miles of Fayetteville, Arkansas)
Out of Area Delivery: $_____________ (More than 50 miles from Fayetteville, AR)
This contract is being funded by:
____Payment in full at time execution of contract.
[Or]
_____ Payment arrangement.
$_______ Down payment with the execution on this contract
$_______ per month for ______ number of months.
The Buyer(s) shall have the right to prepayment without penalty at any time.
Notice: This contract must be fully funded before the goods will be delivered.
_____ Insurance Policy:
Insured Name: ______________________________
Address: __________________________________________________________
Phone: _____________________________________
Policy #: ____________________________________
Insurance Co. Name: ____________________________________________
Discretion of Policy: _____________________________________________
