Longparish Parish Council

Memorial Application

 

To: Clerk to the Burial Board

David Gould
Cherry Tree Cottage
Forton
Andover
Hampshire
SP11 6NN

From:

Tel: 01264 720709

Mob: 07710 479938

Tel:

Application for:

 

New memorial/inscription* / Additional inscription to existing memorial*


[* Please delete as applicable]

 

Memorial

Inscription


Design:

Wording:










Dimensions:

Lettering font:

Material


Colour: white/light grey *

Colour

Finish:



Please mark the grave location by Date_______________


Please find a cheque (made out to Longparish Parish Council) £___________

 

 

Approval

Authorised by_____________________________________Date__________________Fee paid £_______

Memorial application form.sxw

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