Bench Plaque Order Form - North East Surrey Crematorium

A plaque can be placed onto one of the benches within our gardens of remembrance as a dedication to a loved one.

The plaques are cast bronze and measure 9” x 2” . There is space for four lines of inscription with a maximum of 25 letters including spaces per line. The dedication period is 5 years and you will have the opportunity to renew the dedication after this time.

Please note: You will not own the bench and it is not exclusive to your dedication plaque. Other people may also dedicate a plaque on the same bench (up to a maximum of 4 plaques per bench).

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.

I wish to purchase a bench memorial plaque with inscription as follows:(Required)

Plaque position(Required)

I wish to select the position for the plaque in the gardens

I do not wish to select the position for the plaque in the gardens

Title

Name(Required)

Telephone number(Required)

Email Address

Address

Street Address Address Line 2 Town/City County Postcode

IMPORTANT – PLEASE READ THE CONDITIONS SET OUT BELOW

Upon payment of the necessary fee the person paying is permitted to dedicate the plaque for the stated period of years from the date of payment.
PLEASE do not place plants or flowers by the bench as this prevents the staff from maintaining the gardens.
The Board reserve the right to alter the variety of plaques or the design of the gardens as they may deem necessary.
The plaque will be removed at the end of the 5 year period if you choose not to renew the dedication. A reminder letter will be sent to the address we hold for you at the time the renewal is due.