Scattering Ashes Wish Card

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Tanabe Flying Services
Jamie Tanabe, commercial pilot, CRD #611
1093 E. Avocado Crest Road, La Habra Heights, CA 90631 Phone/fax (800) 407-6401 and (562) 691-7227
Pre-need scattering request

I, _________________ desire to be cremated when I pass away. I would like to be scattered by airplane. The location I would like to be scattered is______________.

If, for some reason, that location is not available; my second choice for scattering is __________________.

I would like my family to participate by:___________________________________.

I have the following special Requests:

I understand that this is not a contract with Tanabe Flying Service. It is a future request for services. No payment has been made to Tanabe Flying Services.

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Signature
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Date

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