Memorial Plaque order form

First name

Last name

Memorial Plaque

100 x 50mm plastic laminate plaque£12.50

PLAQUE INSCRIPTION (max 150 characters) IMPORTANT PLEASE READ: Use the box below to complete your inscription. The plaque will be set out exactly as provided below, so be sure to include your child's Name and any dates you require.

Colour choice

Silver

Gold

Baby Rainbow Memorial Gardens - Memorial Plaque Purchase Terms and Conditions

The plaque purchased is the 100 x 50mm plastic laminate plaque
The plaque will be fixed to the halo memorial wall at the Baby Rainbow Memorial Garden, Central Park, Scunthorpe.
The Baby Rainbow Memorial Gardens will ensure the plaque is securely fixed to the halo memorial wall.
The Baby Rainbow Memorial Gardens cannot allocate a pre-specified position on the memorial wall.
The Baby Rainbow Memorial Gardens are not responsible for theft of or damage to the plaque unless caused by the negligence of its volunteers.
All plaques are weatherproof and are engraved with black lettering, exactly as specified on this form.
Memorabilia must not be attached to or placed around the plaque in case of damage or theft of said items.
A proof of your plaque along with payment details will be emailed to you.

Tick to confirm acceptance of Terms & Conditions

Registered Charity Number: 1203683

Memorial Plaque order form