Enquiry/Brochure

To ensure that we can provide you with your exact requirements, please fill in as much of the form as possible.

Your Details

Name
Address
Town
County
Postcode
Telephone
Email

Where is the memorial to be installed?

Cemetery or churchyard name
Grave owner's name
Grave number
(For more information on the grave no. please contact us info@aclarkememorials.com)

Your memorial requirements

Reference number, (View Memorials) Eg - EC 1 Page 4.
Size of memorial	BURIAL 2"6 high x 24" wide x 12" deep x 3" thick  CREMATION 19" high x 18" wide x 3" thick (For alternative sizes please specify under the special instruction section)
Colour of lettering	SILVER PAINTED BLACK PAINTED WHITE PAINTED GOLD LEAF GOLD PAINTED
Ceramic photo plaque?	Yes   No
Photo frame Shape	Oval (portrait) Circular Landscape
Photo frame colour	Gold Silver
Photo colour	Colour Black & White Sepia
Picture or design?	Yes   No Please provide further information (e.g. where you would like the picture / design positioned)
Inscription

Your special instructions or details of your query