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A RoseTree In Remembrance I wish to arrange for the adoption

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A RoseTree In Remembrance I wish to arrange for the adoption Powered By Docstoc
					                       A Rose/Tree In Remembrance

I wish to arrange for the adoption period of fives years (BLOCK LETTERS)
                         A standard rose with a plaque
                     A standard rose with a granite plaque
                         A tree with a standard plaque
                          A tree with a granite plaque
                          Replacement/double plaque

Name
Address

Postcode

In Loving Memory of:
Name

Date of Death

If you require an additional name please enter the details below:
Name

Date of death


Cheques/Postal orders should be made payable to Guildford Borough
Council.

For Office Use:
Cremation           Receipt number      Informed             Date fixed
number
                           Guildford Crematorium

 Name of applicant


      Address


 Telephone number


 Order                                     Plaque        Engraved      Engraved
                                           size in       Enamel/        Gilded
                                           inches         Gilded
            Granite Plaque with stake        ”4
                                           6x ”


         Please enter your choice of wording in the lettering grid below

                                                         Lettering style required*
                                                                      M or R or C
                                                                               




 Design                      Scroll Required       Yes               No
Ref GM*
* See leaflet

				
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Description: A RoseTree In Remembrance I wish to arrange for the adoption