CLAYPOLE PARISH COUNCIL
RESERVATION OF PLOT(S) IN THE CEMETERY.
I would like to reserve .......................................................................................( please insert the number) burial plots in the cemetery.
Details of location.........................................................................................................................
......................................................................................................................................................
I understand the Right of Burial charge will be payable at the time the reservation is made. This information is attached. The Terms and Conditions relating to Claypole Cemetery will also apply.
Name..................................................................................................................
Address...............................................................................................................
............................................................................................................................
Telephone...........................................................................................................
E mail.................................................................................................................
Signed ………………………………………… Date……………………
Signed
…………………………………………............ Date……………………
(Clerk or representative from Claypole Parish Council)
Please return this form to Claypole Parish Council c/o
Mr John Briggs, 19 Swallow Drive, Claypole, Newark, NG23 5FG
Preferred payment is by BACS
Claypole Parish Council
Sort code 20-63-28
Account Number 30220485