Memorial Plaque

If you’d like to have a memorial plaque on a bench or for a tree, please complete the below form. If you require further information, please contact the Parish Clerk.


Enter an email address that we can use to contact you.

Please provide a phone number if you are happy for us to contact you by telephone.

Please provide the wording you would like to be considered for the memorial plaque.

Please provide the proposed location and any additional information that you think may be relevant to your request.