Grave Maintenance Request Form

Grave Maintenance Request Form
Your details*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
About the grave*

First Name of the deceasedLast Name of the deceased
Date of Death

MonthDayYear
Date (if known).
If you do not know the exact date of death, please insert month and year
This is a minimum requirement if you do not know the date of death
Grave Number (if known)

Charges for 2023:

Date of Joining Scheme	Cost
January - March	£91.00
April - June	£68.25
July - September	£45.50
October - December	£22.75

You will be contacted in December each year with regard to renewing your membership of the Grave Maintenance Scheme and if you decide to continue, you will be invoiced for the full year.

I am requesting that Woodgrange Park Cemetery Ltd carry out maintenance of the pathway leading up to and the area immediately surrounding the above grave. I understand that by submitting this form I will be invoiced for the appropriate amount (see Charges above) which I can either pay by bank transfer or by cheque (details of how to pay will be shown on the invoice).
Should be Empty: