Memorial Wall Application

Charges for the Registration, Casting, Freight & Fixing of the Plaque to the Memorial Wall are: $220 (incl. GST)

On completion of this form go to our ‘Shop’ link at top of page and select ‘Memorial Application’ to pay online. Use your name as a “reference”.

The alternative is to go to our ‘Shop’ link, then the Memorial Application and download the pdf Application Form and mail to the address on form with a cheque/moneyorder, or use the Direct Debit details on the form.

 Application for registration & addition of plaque to Memorial Wall 
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Please add the following particulars to the Trust Register to create a Memorial Wall Plaque



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