Milltown Cemetery, Belfast Application
For A Memorial

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- Step 1 of 3

Applicant Name

Applicant Address

Contact Telephone Number

Email *

Relationship to Deceased

Name of Deceased

Preferred prefix (if any)

Date of Death

Signature

Clear Signature

Date / Time

Stripe Credit Card *

Card

Name on Card

Monday – Friday:
9.30am – 5.30pm
Saturday:
10am – 1.30pm

24 Hour On Call Service

North Down Funeral Directors and Memorial Masons is a trading name of Bereavement Services Limited.

Registered address 41 Main Street, Bangor, Northern Ireland BT20 5AF. Company number NI666775.