MemorialsEnquiry form Donor details Name (Mr/Mrs etc) Membership number (if applicable) Preferred method of contact Email Telephone Post Please provide details Email Telephone Address Remembrance details Name of the deceased (Mr/Mrs etc) Date of death (if known) Were they a member of Essex Wildlife Trust during their life? - Select -YesNo Were they a volunteer at Essex Wildlife Trust during their life? - Select -YesNo Relationship to deceased Requirements Location / name of nature reserve Specific area on the reserve identified Budget - Select -Up to £300£301 - £600£601 - £1000£1001 - £1500£1500+ Plaque dedication necessary? - Select -YesNo Do you have a specific memorial idea you would like us to investigate? - Select -YesNo If yes, please give details Leave this field blank
