Smeltz's
Mortuary Transportation Company
_______________________________________________________________
Removals - Hearse Rentals - Funeral Supplies
717-215-1163
463 Main St.
Lykens
,
PA
17048
ph:
717-215-1163
fax:
717-453-4263
zach
@smeltzmt
c
.com
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Vehicle Rental Form
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Vehicle Rental
*
Required Field
Vehicle Rental Form
*
Name:
*
Funeral Home Name:
*
Funeral Home Address:
*
Email:
*
Phone Number:
*
Rental Date:
*
Time of Service:
*
Location of Service:
*
Location of Burial:
*
Deceased's Name:
*
Vehicle Requested:
Hearse (Eagle Kinsley)
Yukon XL
Dodge Crand Caravan
*
Military Option:
None
Air Force
Army
Marines
Navy
Coast Guard
National Guard
Firefighter
Law Enforcement
Additional Instructions:
Submit Your Rental Form:
Submit
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463 Main St.
Lykens
,
PA
17048
ph:
717-215-1163
fax:
717-453-4263
zach
@smeltzmt
c
.com