BREWSTER CEMETERY LOT CONTACT INFORMATION
Lot Number (if known): ________
If you know the lot number you can skip down to the contact information portion of the form. If you don’t know the lot number, please fill out as much of the following information as you can.
Original Purchasers Name (if known): ________________________________
Row # (see markings on center road) _______
East or West side (circle one)
Name on tombstones on lot, if any: ___________________________________
Current contact person for the lot:
Name: ______________________________________________________
Address: _____________________________________________________
___________________________________________________________
Telephone: _________________________
E-Mail: ______________________________
Signature: ____________________________________________________
Date: ____________________________
Brewster Cemetery Association
PO Box 312
Brewster, MA 02631