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Thame Town Council
About the Town Council
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Memorial Application Form
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Memorial Application Form
Application for a dedicated memorial bench, tree or shrub
Please read the Memorial Benches, Trees & Shrubs Policy before completing this form. It can be viewed at:
https://www.thametowncouncil.gov.uk/wp-content/uploads/2022/11/Memorial-Benches-Trees-Shrubs-30.8.22-1.pdf
Date of Application
(Required)
MM slash DD slash YYYY
Applicant Details
Please notify us of any change of name or address so we can contact you if we need to.
Name
(Required)
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
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Panama
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The Application
Name of person for dedication:
(Required)
Reason for dedication:
(Required)
Preferred location:
(Required)
Second choice location:
Privacy Notice
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Thame Town Council regards your privacy as important and any personal information you give to use will be used in accordance with the law. Please read our privacy notice at
www.thametowncouncil.gov.uk/privacy
By ticking the box below, you are agreeing that Thame Town Council can hold and process your personal data, as provided on and with this Form.
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