Tubac Historic Cemetery Society, Inc.Cemetery Plot Application Applicant Name * First Name Last Name Phone * (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Relationship to Deceased * Sibling Parent Child Cousin Friend Spouse Other Name of Deceased * First Name Last Name Date of Birth * MM DD YYYY Date of Death * MM DD YYYY Have you provided a copy of death certificate? * YES NO (Please explain as to when this will be provided.) What is your anticipated Burial Date? * MM DD YYYY Family History * Please name family members presently buried at the Tubac Cemetery Below: Use separate page(s) if more room is needed to include names of all family members. Are you Willing to Volunteer for cleaning duties? Yes No FEE INFORMATION * As applicable to those that meet the rules and regulations of the cemetery; a fee is required upon submitting this application. The fee collected will apply towards the preservation and maintenance of the grounds. All persons are still required and expected to properly maintain their own family plots and provide for accumulated trash disposal of their sites. Below are the suggested minimum donation amounts: Cremations: $50.00 Full Burial: $100.00 Please indicate whether you are needing cremation burial or full burial below: PLEASE NOTE: * New grave sites must be excavated no less than 8 FEET in depth. We DO NOT provide any equipment or personnel for the excavation of any plot for burial purposes, this remains the responsibility of the applicant and family members. The applicant and family are also responsible for the immediate clean up and removal of any debris following the service and/or burial. Did you read all the rules and regulations? I read and agree to all rules and regulations I disagree Rules & Regs. --> https://www.tubachistoriccemetery.org/rulesandregs Please type your FULL NAME, to represent your signature for the application you are about to submit. * Thank you!
