South West Middlesex Crematorium Board

Application for Entry in the Book of Remembrance

EACH INSCRIPTION LINE MAY ONLY CONTAIN A MAXIMUM OF 35 CHARACTERS (INCLUDING SPACES). BLOCK LETTERS PLEASE. For all entries in the Book of Remembrance, the day and month is displayed at the top of the page. If you wish the year of death to appear, this must be included in the inscription.

When writing your entry, the first line must only be used for the name of the deceased. The second is for dates and a short epitaph, if there is space.

Please choose the number of lines you require: