The undersigned have elected to provide their own cremation container / urn (the “Provided Urn”) and/or keepsake(s) for the purposes of holding the cremated remains of the above-mentioned person and acknowledge and agree to the following:

Provided Urn Requirements

• The Provided Urn must have a minimum volume capacity of two hundred (200) cubic inches to accommodate the cremated adult human remains. If the Provided Urn does not have sufficient capacity to hold the entire amount of the cremated remains, the undersigned authorize our firm to place the excess in a temporary container.
• The Provided Urn should be constructed of a permanent, durable material which will not break, crumble, crack, dissolve, or shatter if (a) dropped, bumped, or jostled during transfer, storage or handling, or (b) exposed to natural elements such as heat, water or moisture and if Provided Urn is not so constructed, the undersigned agrees to indemnify and hold our firm harmless if the Provided Urn should break, crack, crumble, dissolve, or shatter while in our possession.
• The Provided Urn must have a lid or top which can be securely fastened to prevent spillage during transfer, storage, or handling.
• The Provided Urn must have an opening wide enough to fill the cremated human remains consistent with industry urn standards.
• If the above requirements are not met, the undersigned agrees and understands that our firm will not fill the Provided Urn and the cremated remains will be returned in our temporary cremation urn or an urn purchased from our firm.

Keepsake Urn Requirements

• If we are asked to split the cremated remains and place a portion(s) into small keepsake urns and containers, the undersigned agrees to the same requirements for provided keepsakes urns as for Provided Urns stated above.
• Keepsakes must be provided at the same time as the Provided Urn in order for us to be able to fill it.

Indemnification of Cremation Provider

The undersigned assumes all liability arising out of the use of the Provided Urn and/or Keepsake(s) and agrees to indemnify and hold harmless our firm, it’s officers, employees, and agents from any and all claims, suits, or causes of action, including attorneys’ fees for the defense thereof. Furthermore, our firm taking possession of

the Provided Urn and/or Keepsake(s), does not make any implied or explicit guarantee or warranty as to the suitability of the Provided Urn and/or Keepsake(s) for it’s intended use of satisfaction of any cemetery, TSA, airline, or United States Postal Service shipping regulations or requirements.