Please provide the information below. Charges can be found on our website at: https://www.stratford-upon-avon.org/holy-trinity-hiring-charges

Contact Information

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Middle name(s)

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Email *

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Mobile

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I agree to the Parish of Stratford-upon-Avon keeping me informed about news, activities and services in the Parish

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Person to be Remembered

Name of Person to be Remembered *

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Year of Birth *

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Year of Death *

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For Office Use only

Fee (at current rate)

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Date Applicant advised of Fee and How to Pay

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Date Payment Received

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Date Plaque Ordered

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Date Applicant advised Plaque in position

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By submitting this completed form you agree to our Privacy Policy which can be found on the Policies page of our website: https://www.stratford-upon-avon.org/holy-trinity-policies