Craven Bereavement Services

The Chapel Office, Skipton Crematorium,

Carleton Road, Skipton, North Yorkshire BD23 3BT

Tel: (01756) 796118

BRONZE PLAQUE ON A SPIKE APPLICATION

(for use in the Outside Shrub Beds and Raised Beds only)

Particulars of person to be registered as the owner

FULL NAME
ADDRESS
TEL / E-MAIL

STREWING REFERENCE:______

Do Family wish to be present whilst strewing remains?YES / NO

Do Family wish to be present whilst placing the plaque?YES / NO

PLEASE ALLOW UP TO 6 WEEKS FOR COMPLETION
LINE
1 /
LINE
2
LINE
3
LINE
4
LINE
5
LINE
6 /
LINE
7 /
LINE
8
LINE
9
LINE
10
LINE
11
1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / 16 / 17 / 18 / 19

* Not to scale

PLEASE TURN OVER

Please complete your required inscription in the boxes provided, where each box represents one letter of the inscription (include a blank box for each space). When creating a plaque, all inscriptions will be centred. The line containing the Name will accommodate up to 17 characters only, as this lettering is slightly larger than the rest of the inscription characters.

To be placed in SkiptonCemetery Outside Shrub Beds or Raised Beds

FOR 15 YEARS LEASE PERIOD

The plaque, which is made of cast bronze and finished in black, is available in two sizes:

6 x 4= 6 LINES 6 x 6 = 11 LINES

Signature ______Date ______

The Council reserve the right to refuse or alter any inscription considered unsuitable.

In order to keep the grounds neat and tidy and to aid grounds maintenance, the

area surrounding the memorial garden should be left clear of glass containers, plastic surrounds and any such articles. The Cemetery staff will remove any articles that are deemed unsuitable. For any further advice please do not hesitate to contact the office.

PLEASE MAKE CHEQUES PAYABLE TO ‘CRAVEN DISTRICT COUNCIL’

Example of completed inscription:

LINE
1 / I / N / L / O / V / I / N / G / M / E / M / O / R / Y / O / F
LINE
2 / M / A / R / Y / W / I / L / K / I / N / S / O / N
LINE
3 / B / O / R / N / 2 / 6 / T / H / S / E / P / T / 1 / 9 / 0 / 0
LINE
4 / D / I / E / D / 2 / 2 / N / D / N / O / V / 2 / 0 / 0 / 2
LINE
5 / B / E / L / O / V / E / D / W / I / F / E / M / U / M
LINE
6 / R / E / S / T / I / N / P / E / A / C / E

FOR OFFICE USE ONLY:

Type / Code / No. of / £
Bronze plaque on a spike (both sizes) / 5250 R190 SA16
Strewing of Cremated Remains / 5360 R190 CC05
Invoice raised Checked by / Total
Invoice Number / Cremation / Burial Number
Receipt Number / Cremation / Burial Date
BACAS ID Number / Date Ordered
Date entered on BACAS / Order Number
Additional Information

\\CRAVEN\services\Deputy Chief Exec Office\Neighbourhoods\Bereavement\Forms\Memorial Application\BRONZE PLAQUE ON SPIKE Application.doc