Serving the people in the parish of Eckington

Online Bronze Plaque Order Form

This form must be completed and the fee of £250.00 to be paid on submission of this application. Please make cheques payable to Eckington Parish Council and post to Eckington Parish Cemetery Office, Eckington Civic Centre, Market Street Eckington, S21 4JG
If you wish to pay by card over the phone, please call the Cemetery Administrator on 07715 663946 Monday to Thursday 9am-3pm. BACS payments can be made to Eckington Parish Council 60-83-01 20383891 please use reference of ‘Plaque’ and your Surname.

The gathering and subsequent processing of the personal data supplied by you in this form, is in accordance with the terms of our registration under the Date Protection Act 1998. Further information about our Data Protection policy can be found on our website under Privacy Notice.
These details will be kept indefinitely in the archives under the cemetery orders and cremations regulations

* Required Field

Please fill in your full name

Please fill in your full address and postcode

Landline or Mobile number

Please enter your full email address

E.G 'In loving memory of'

E.G Name/s of loved one/s

E.G Date of birth to date of death, or age

E.G Dearly missed, Forever in our Hearts, Together again

I confirm that all sections of this form have been fully completed and that the details are correct to the best of my knowledge

Last updated: Thu, 07 Jan 2021 12:24