Memorial Book

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A Time to Remember – Memorial Book

The Memorial Book is kept at Pollards Hill Baptist Church, and will be displayed at the annual Memorial Service – A Time to Remember.

Please complete the form below, if you would like to have an entry made.

If you are not the next of kin please ask permission of the next of kin before submitting this form.

The Memorial Book is updated regularly.

There is no charge to have someone remembered, but any donation towards the writing of the name and maintenance of the Memorial Book would be gratefully received. Details about donating can be found here: https://www.phbc.org.uk/giving/

For full details of the Memorial Service, or to watch the service via the Livestream, follow this link: https://www.phbc.org.uk/event/memorial-service-a-time-to-remember-2023/

Please complete this form with the name in block capitals that you would like in the Memorial Book e.g. JOHN SMITH.

Entries submitted by 15th October 2023 will be included in the Memorial Book in time for the service on 21st October 2023.

Submit an entry to the Memorial Book.

Name to be entered as: (Note that we can only add first and last names) *

First

Last

Date of Birth *//

Date of Death *//

Add 2nd name? *

Your Name *

First

Last

Your Email *

Your Telephone

Terms of submission *

I confirm that I have read and accept the following terms

TERMS OF SUBMISSION: **1. I am next of kin or have permission from next of kin to submit the name(s) for the Memorial Book. **2. Entries cannot be changed or duplicated in the Memorial Book, and I accept responsibility for any spelling or date errors.