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Application for the lease of a Memorial Leaf Dedication (5 years)

DD slash MM slash YYYY

Include any names and figures. Top and bottom lines preferably kept shorter to account for the curve of the leaf. Names will be enlarged and all text centred where ever possible. The Crematorium reserve the right to alter the inscription if it is deemed necessary.

Desired Placement

Indicate desired placement
I hereby make an application for the lease of a Memorial Leaf and accept the conditions as outlined above.
Upon receiving your completed application form, our Crematorium Team will send you an invoice for payment.