Application for Child Burial Tablet at the Crematorium

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Application for Child Burial Tablet at the Crematorium

	If not submitting on-line please return completed form to: Isle of Wight Crematorium Station Lane, Whippingham, East Cowes, Isle of Wight PO32 6NJ Telephone (01983) 882288 / Fax (01983) 883010
*	Please contact the crematorium on 01983 882288 if you would like any help filling in this form, or would like more information on the memorial options available. Please Note – in the first six months after the date of cremation, only the person who applied for the cremation may purchase a memorial. If you are not the person who applied for the cremation and wish to purchase a memorial within the first six months you must provide the written consent of the person who applied for the cremation. Please tick this box to confirm you have read and accept the terms and conditions

Applicant Details

*	Building/house name/number
*	Street address
*	Town name
	County
*	Postcode
	Telephone number (include area code)
	Email address

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