Apply for Book of Remembrance entry

Progress

Book of Remembrance

Chosen site and type of entry
Book of Remembrance site
Number of lines required
Would you like to add
Would you like to add
Would you like to upload an image of a specific emblem or badge or coat of arms, or describe it?

Details of entry

Specify the day and month in dd/mm format

The following details will appear in the Book of Remembrance. Each line has a maximum of 32 characters. The first line must include the name of the deceased. (surname and forenames will be used on the first line)

Enter in format Last name(s), First name(s) e.g. BLOGGS, JOSEPH. Please check your inscription carefully as mistakes cannot be rectified

Please check your inscription carefully as mistakes cannot be rectified

Please check your inscription carefully as mistakes cannot be rectified

Please check your inscription carefully as mistakes cannot be rectified

Please check your inscription carefully as mistakes cannot be rectified

Please check your inscription carefully as mistakes cannot be rectified

Please check your inscription carefully as mistakes cannot be rectified

Please check your inscription carefully as mistakes cannot be rectified

Would you like to add a miniature book of remembrance to this order?
Would you like to add a memorial card to this order?

Applicant details

Details of the person submitting this application
Address
 

Use the Lookup Postcode button to find the address.

If you cannot find the address, please enter it manually

Before you submit this form please review your answers below. If you need to change anything, use the 'previous' button on the bottom left to go back to a section. Then submit the form by selecting the 'Submit button' at the bottom of this page