Client inquiry form

Thank you so much for your interest in the Leaves With You coffin. Please fill out the form below so that I learn more about your experience and how I can create the most special ritual for you.

Pricing –
After you complete this form, I will create a suggested price based on the level of ritual and customization for your coffin. The price will range between $1,200 – $2,200 and will be available on a sliding scale with no questions asked.

Follow up call –
Lastly, I would love to set up a 20-minute phone call to discuss your answers so I can get to know you a bit more. So if you have any questions, please note them here, and I will make sure we discuss them on our call.

Name

First Name

Last Name

Which coffin are you interested in?

Personalizing the dye

If you are interested in a custom dyed coffin, please answer the question below: Dying the coffin with natural dye is a beautiful way to personalize the coffin even further by creating a color special for your story. In addition to writing a little about yourself, here are some prompts for you to answer – "Tell us about a favorite memory growing up" "What is a place on Earth that you find most peace" "What is something you have done as your favorite hobby or for personal healing time?" Please include answers to these questions below so that Leaves With You can craft the right color from these stories.

How much of the coffin ritual are you interested in participating in?

The Leaves With You prioritizes ritual. Shaina will weave at minimum 80% of the coffin in ritual. Then, depending on how much you would like to weave, Shaina will guide you in your own ritual so that you can add your love and intentions to the rope. Please let us know if you are interested in this below.

How did you hear about Leaves With You

Timeline

What is your ideal timeframe to receive this coffin? Depending on the urgency, Leaves With You has a minimum turn around time of about 3 weeks

Where will the coffin be shipped?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please add any additional comments or questions here

Thank you! I so look forward to speaking with you further soon

Client Inquiry Form

hello@leaveswithyou.com