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Clarita Espana
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Home
Plans Vs Insurance
Our Plans
Our Funeral Plans
Cremation
Burial
Privileges
Protection
Aftercare
FAQ’s
Contact
Join Us
Plan Creation Form
Clarita España Funeral Plans
APPLICANT 1
Full Name
Date of Birth
Nationality
ID: Passport/NIE/TIE
Religion
Address
Email address
Telephone number
Mother's Name
Father's Name
Next of Kin
Name
Address
Telephone
Email
Date of Birth
Relationship to Plan Holder
Acceptance as Next of Kin?
Yes
No
APPLICANT 2
Leave blank if there is only one applicant.
Full Name
Date of Birth
Nationality
Passport / NIE / TIE
Address
Email
Telephone
Next of Kin
Name
Relationship
Acceptance as Next of Kin?
Yes
No
PLAN SELECTION
Applicant 1 Plan
Plan Type
Burial
Cremation
Plan Name
Clarity
Clarity Plus
Tranquility
Serenity
Charity Donation
If your plan includes a charity donation please advise which charity you wish to support
Nominated Charity
Applicant 2 Plan
Plan Type
Burial
Cremation
Plan Name
Clarity
Clarity Plus
Tranquility
Serenity
Charity Donation
If your plan includes a charity donation please advise which charity you wish to support
Nominated Charity
PAYMENT TERMS
PAYMENT TERMS
FULL PAYMENT
(Single payment)
INSTALLMENT
(Up to 120 months)
Deposit € (Min €500)
Term (Months)
CONSENT & DECLARATION
DECLARATION
I/We confirm information is accurate and I/we are over 18. I/we understand this creates a contract with Clarita España Funeral Plans
DATA PROTECTION
I/We consent to personal data processing (GDPR) and confirm I/we are responsible for providing valid ID.
CANCELLATION
I/We may cancel within 21 days for a full refund.
Applicant 1 Signature
Print Name
Date
Applicant 2 Signature
Print Name
Date
Create Plan
