Cem reservationForm

Application for a Reservation of a Grave Site at the Congregation B'nai Zion Cemetery in Key West, FL

I, _______________________________________________________, member(s)

in good standing of Congregation B'nai Zion Key West, FL, with our/my membership dues currently paid up to date,

request (number)______________ reservation(s) for Grave Site(s) at the CBZ Cemetery in Key West, FL

Please list the Names for the Grave Site Reservations

1. _____________________________________________ Phone _____________________________

2. _____________________________________________ Phone _____________________________

3. _____________________________________________ Phone _____________________________

Emergency Contact 1 Name_____________________________Relationship _______________________

Phone H___________________ Phone Cell________________E-Mail___________________________

Emergency Contact 2 Name_____________________________Relationship_______________________

Phone H___________________ Phone Cell________________E-Mail___________________________


My Burial Plans include (a) Traditional ______________or (b) Cremation _______________

Reservations for Grave Sites in the CBZ Cemetery KW cost $350.00 each.

A Perpetual Care Fee of $1,000.00 per Grave Site must be paid with this application.

A Liner fee of $1200.00 must be paid


The final cost of the grave site is determined by the length of membership at Congregation B'nai Zion.

What year did you join CBZ________________________


Total Amount Pd___________________Check Number_______________Check Date________________


Please make your Check out to Congregation B'nai Zion...memo line - CemeteryRes/PerpCare

Please mail to Congregation B'nai Zion, 750 United Street, Key West, FL 33040