SALTWELL CREMATORIUM TABLET No. ----- Memorial Wall Plaque Information and Order Form (For Office use only) Return address: Cemeteries & Crematorium Office Local Environmental Services Civic Centre Gateshead NE81HH 1. APPLICANT'S DETAILS Name . Address . Post Code ,., , ,.. Telephone No , II •••••• II II •••••••• II 2. TERMS AND CONDITIONS: • Charge for SMALL PLAQUE - £281.00 This includes up to 48 characters (letters and figures) Punctuation marks take up very little space and are NOT included in the 48 characters. These are cut free of charge. • Charge for LARGE PLAQUE - £452.50 This includes up to 72 characters (letters and figures) Punctuation marks take up very little space and are NOT included in the 72 characters. These are cut free of charge. • Charge for each additional character is - £2.10 • The plaque will remain on the wall for a period of ten years from the date when first installed. . 3. HOW MANY LINES OF DEDICATION CAN I HAVE ON A TABLET? On a small tablet your dedication is limited to three lines of text, if you choose a large tablet this gives you space for up to six lines of text. 4. DO I HAVE TO USE THE WHOLE TABLET? When considering the wording for the memorial it is not necessary to fill the whole tablet. It is quite acceptable to only use one or two lines on a small tablet, or three or four on the large tablet. The actual layout will be designed by our Stone Mason. The large tablet can also be used for a double entry, i.e. the initial inscription of three or four lines, and the remaining lines to be used at a later date. 5. HOW MANY LETTERS WITH SPACES CAN I USE ON EACH LINE? The number ofletters / figures and spaces on each line of the tablet should be limited to approximately 24, for example IN LOVING MEMORY OF has 16 letters and 3 spaces, giving a total of 19. Should you exceed these figures it may be necessary for your dedication to be amended. 6. WILL I BE ABLE TO SEE THE LAYOUT OF THE MEMORIAL INSCRIPTION? You will receive a layout drawing of your memorial inscription (NOT TO SCALE) designed for you to read and make any corrections if necessary, then sign and return to us at above address. PLEASE SEE ATTACHED BOXRD SECTION DRAWINGS PAGE SHOWING THE THE LAYOUT OF SMALL AND LARGE TABLETS. Having made your choice of tablet size; fill in the squares with your required memorial wording and return with this form and payment to Gateshead Council as above. P.T.O Please Note • On expiry of the ten-year period the applicant will receive notification from this office that the plaque will be removed. • Arrangements can be made, at this time, to extend the period ofthe plaque for a further 10 years at a cost appropriate at the time. • Gateshead Council will not accept any responsibility for any damage, theft or wear and tear of the plaque. • Floral tributes are only permitted in the floral bouquet holders supplied. • Unauthorised items such as cards, photos etc will be removed and disposed of without prior notice. • The plaque may take between 8-10 weeks before it is placed on the wall, this is dependant upon the time lapsed from signing the proof as correct and returning it to the return address as shown. To be completed by applicant I confirm that I have read and understood the above conditions. Signed Date . For office use only Date received Receipt No .; . Amount paid..•••..............•••.•.........Payment method: cash/cheque/card/other Plaque no. allocated 0 •••• 0 ••• 0.0.0 Fax to supplier. . Proof sent to applicant . Returned as correct. . Returned to supplier . Erected on walL . PLEASE NOTE: WRITE THE INSCRIPTION OUT 01'1 ANOTHER PTECE OF PAPER FIRST AND THEN CHECK THAT YOU HA VE ENOUGH ROOM FOR THE WORDING YOU HAVE CHOSEN. SMALL TABLET - £281 for 10 years. Price includes up to 48 characters (letters and figures). Additional characters cost £2.10 each Write your memorial here using CAPITAL LETTERS Please restrict the number ofletters and soaces to 24 per line 000000000000000000000000 000000000000000000000000 000000000000000000000000 LARGE TABLET - £452.50 for 10 years. Price includes up to 72 characters (letters and figures). Additional characters cost £2.10 each Write your memorial here using CAPITAL L:E:TTERS Ple~~~restrict the nmpQi~ of letters and spaces to 24 per line 000000000000000000000000 000000000000000000000000 000000000000000000000000 000000000000000000000000 000000000000000000000000 000000000000000000000000 If you wish to save a line or lines for future use, please write on that particular line or lines the, word "RESERVED" TO BE COMPLETED BY APPLICANT I confirm my order for a (tick appropriate box) SMALL TABLET D LARGE TABLET D SIGNEI)............................................................. Date SaltlBirt No .