APPLICATION FOR A
I request that St. Mark’s Church issue a Columbarium Certificate and to assign a niche in the St. Mark’s Columbarium for interring the remains of the individual designated below.
New niche: $2000 Shared Niche: $3750**
Date of Birth: _______________
Date of Death:_______________
I have received and read a copy of the St. Mark’s Columbarium Policies and Procedures. I understand that this application is subject to approval of the Columbarium Committee; that a Columbarium Certificate will be issued when all fees have been paid in full; that all Columbarium Certificates are subject to the Policies and Procedures; that a Columbarium Certificate does not create, grant, or convey any property rights in any property of St. Mark’s; and that a Columbarium Certificate may not be assigned, transferred, or inherited except with the approval of the Columbarium Committee.
Approved by the Columbarium Committee on
**Please note: The size of the urn may affect the sharing of a niche