Request a new, additional or replacement Garden of Remembrance memorial plaque

Plaque options and location
Tell us the nature of your request



Crematorium location


Lease period


Do you know the section where you would like the memorial to be placed?



Reason for requesting a replacement




Do you intend to scatter ashes when placing this memorial?


We will contact you to confirm arrangements for scattering the ashes.

Would you like to make an appointment for the placing of the plaque?


Number of lines and inscription wording

The following details will appear on the memorial plaque. Each line has a maximum of 20 characters (not counting spaces) and must include the name of the deceased.

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

For an additional £53 you can add a second plaque to the stake.

Would you like to add a second plaque?


The following details will appear on the second memorial plaque. Each line has a maximum of 20 characters (not counting spaces) and must include the name of the deceased.

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
Details of person completing 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