Book of Remembrance Order Form - North East Surrey Crematorium

Cash or cheque payments

Please download the PDF form and send it with your payment to:

North East Surrey Crematorium, Lower Morden Lane, Morden, Surrey, SM4 4NU

Cheques should be made payable to the North East Surrey Crematorium Board.

Card payments

Please complete the form below and we will call you to take payment.

Date of Entry(Required)

Do you require an emblem or crest?(Required)

Yes

Note that an emblem or crest requires a 5 line minimum and reduces the number of letters per line to 27

What style of emblem do you require?(Required)

e.g. Rose, Robin etc

Name of Deceased - Surname Forename(s)(Required)

Please use BLOCK LETTERS. We recommend not more than 32 letters and/or figures should be included in any one line of entry (over 32 letters, the lettering has to be noticeably reduced).

Name of Deceased - Surname Forename(s)(Required)

Please use BLOCK LETTERS. We recommend not more than 27 letters and/or figures should be included in any one line of entry (over 27 letters, the lettering has to be noticeably reduced).

Line 2

Line 2(Required)

Line 3

Line 3(Required)

Line 4

Line 4(Required)

Line 5

Line 5(Required)

Line 6

Line 7

Line 8

Do you also require any of the following in addition to the entry in the book of remembrance?(Required)

Miniature Book vellum bound

White Memorial Card(s)

Folded Memorial Cards

How many Miniature Book vellum bound do you require?(Required)

How many White Memorial Cards do you require?(Required)

How many Folded Memorial Cards do you require?(Required)

Title

Name(Required)

Telephone Number(Required)

Email Address

Address

Street Address Address Line 2 City County Postcode

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