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Floral Order Form

Our staff looks forward to assisting you with your Carolina floral placement selection.  Please complete the floral placement order form below and our staff will contact you to complete the purchase transaction.
Plan Option
Placement Day
(For Plan I, Option #5 and Single Placement):
Full Name of Deceased:
Offered By:
Address:
City, State & Zipcode:
Email Address:
Phone Number:
Additional Requests such as size, color, flower type, etc.:

Carolina Memorial Park of Concord-Kannapolis 
Physical Address:
     601 Mt. Olivet Road
     Kannapolis, NC 28083
     (Highway 29 North @ 85)
Mailing Address:
     P.O. Box 3257
     Concord, NC 28025
Phone: 704.786.2161
Fax:     704.783.2163
Email:carolina.office@charlotte.twcbc.com
           
             * * * * *   
Carolina Memorial Park of Harrisburg-Charlotte
Physical Address:
     12015 University City Blvd.
     Charlotte, NC  28213 
Mailing Address:
P.O. Box 39
Harrisburg, NC 28075
Phone: 704.374.0542
Email:carolina.office@charlotte.twcbc.com

             * * * * *   
Ostwalt Vault Company
Physical Address:
344 Field Drive
Troutman, NC 28166
Phone: 800.222.8631\
Email: 
carolina.vault@charlotte.twcbc.com
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