Funeral Home Records Book
Order Form

Print, Fill out and return to:
Polk County Cemetery Preservation Committee
P O Box 213
Cedartown, GA 30125

Name:__________________________________________________

Mailing Address: _________________________________________

_______________________________________________________

_____ Copies of book @ $20.00 each =  $______________

*Plus Shipping & Handling                     ______________

Total Enclosed                                       $ ______________

*$5 for first book & $2 each additional book