To:
Arnos Vale Cemetery Trust
West Lodge
Bath Road
Bristol
BS4 3EW
Tel: 0117 971 9117
BOOK OF REMEMBRANCE
Name of Deceased .............................................................................................................
1. Please record the entry below in the Book of Remembrance under the following
Date of Entry ........................................................... Fee £ .
2. And supply copy(ies) of entry on; No. reqd.
(a) The Remembrance Card ............. .
(b) The Miniature Book of Remembrance ............. .
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I enclose cheque/postal order for £
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Name of Applicant ................................................................................ (Mr/Mrs/Miss/Ms)
Address ..........................................................................................................................
Date ........................................ Signature .......................................................................
Cheques, etc., to be made payable to ARNOS VALE CEMETERY TRUST
When payment is made by cheque no official receipt will be issued unless requested.
PLEASE WRITE CLEARLY AND IN BLOCK LETTERS
First Line -- name only Maximum -- 35 Letters per line
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Surname First Names 1. ................................................................................................................................................. Dates and particulars of epitaph, please commence on line 2 below 2. ................................................................................................................................................. |
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3. ................................................................................................................................................. 4. ................................................................................................................................................. 5. ................................................................................................................................................. |
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6. ................................................................................................................................................ 7. ................................................................................................................................................ 8. ................................................................................................................................................ |
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Five and eight line entries only Flower of your choice. Species .................................................................... Colour ....................... Or Motif/Badge. Details ..................................................................................................................... |
Single entry fill in lines 1 & 2
Double entry fill in lines 1 to 5 Please use all 5 lines
Treble entry fill in lines 1 to 8 Please use all 8 lines