Register to Join the Burial Society

La Qua Brothers Burial Society Rules

 

  1. Enrollment Fee: $20.00 (non-refundable).
  2. Monthly Fee: $5.00
  3. After being a member for two (2) years, the Society will pay funeral Benefits of $3,000.00.
  4. If death occurs before two (2) years, a 40% Discount will be given on a coffin selected under $7,500.00.   A coffin selected over $7,500.00, full benefits of $3,000.00 will be given.
  5. Subscription more than 30 days in arrears will be subject to $1.00 fine.
  6. Subscription in arrears over six (6) months will be terminated.
  7. Membership cannot be transferred.
  8. Only one benefit per member i.e., in case where one person joins the Society twice and demises, only one benefit will be paid.
  9. We will only be liable for coverage to any member who, after death occur overseas, has been repatriated to Grenada for interment.
  10. Members whose death occur overseas and have not been repatriated to Grenada would not be liable for coverage.

By submitting this form with payment I agree to abide by the rules of the society of which I am a member.

 

 

ID#:*
Name:*
Address:*
Age:*
Phone:*
-
Contact Name:*
Contact Address:*
Contact Phone:*
-
Enrollment Fee:*
 $ 
Monthly Fee:*
 $ 
Date:
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