Form to be completed by residents wishing to make an enquiry related to memorial benches.

Name *

Applicant Address *

Contact Number *

Email Address *

What type of memorial service would you like to purchase? *

Memorial Bench
Recasting of Plaque
Extension of Lease Agreement

Type of Memorial Bench *

Use What3Words Website to select a location

Visit the What3Words website to select a location for your memorial bench. Write the three words for your chosen location in the box for the next question.

Preferred Bench Location *

Memorial Plaque Name *

Memorial Plaque Message *

Recasting of Plaque Name *

Recasting of Plaque Message *

Extension of Existing Lease Agreement Number *

Data Protection Statement

Data Protection - Ashford Borough Council is the data controller for any personal information collected in this memorial bench enquiry form. Processing is being conducted relying upon a public task legal basis and you data will be used to administrate your application. Your data may be shared with other departments within the council for the purpose of improving services, keeping records up-to-date and for the protection of the public funds.

For more information about your data protection rights please see the Council’s data protection pages which can be found at www.ashford.gov.uk or contact the Data Protection Officer at The Data Protection Officer, Ashford Borough Council, Civic Centre, Tannery Lane, Ashford TN23 1PL.

Data Protection *

Spam Guard *

Memorial Bench Enquiry Form

Customer Contact Details

Use What3Words Website to select a location

Data Protection Statement