Memorial bench enquiry

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Enquiry details

Your enquiry

This form is not an order form. We will use this information to carry out a location search to see if space is available and any associated costs.

Is the bench to be placed in a crematoria or cemetery?
Which crematoria?

Eg. Section No and close to plaque for Mary Jones

Enter the name of the deceased below. If more than one deceased is resting in this location, only one name is required.

Applicant details

Your details
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