Funeral collection envelopes

Holding a funeral collection is a lovely way to celebrate someone special while supporting families affected by dementia

Complete the form to order our special memorial donation envelopes.

In Memory donation envelopes order form

Title:*
Name:*
First Last
Your Address:*
Street Address Address Line 2 City Postcode Country
Your Email:*
Your telephone number:*
Name of deceased:
First Last
Relationship to deceased
Date of Funeral/Memorial service:*
DD slash MM slash YYYY
Number of envelopes required*
We normally send 30 envelopes but if you think you would like more then please choose the amount you require below’
Number of collection boxes required*
If you would like your envelopes sent directly to the funeral director, please give their company name and address:
Feel free to leave comments or feedback in the box below:
Keeping you updated
It’s only with support from kind people like you that we can be there for families living with dementia across the UK. We would like to keep in touch and update you with the latest behind the scenes news, including the incredible difference our specialist Admiral Nurses make, and how you can help us to continue our long term work by fundraising and volunteering for us.
- Yes, I'd like to receive email updates
- Yes, I'd be happy to receive updates by phone
- Yes, I'd like to receive text message updates
- No contact via post
Email*
Phone*
Dementia UK are committed to protecting your personal data. Please view our full privacy policy at www.dementiauk.org/privacypolicy. If you would like to change how you are contacted by us, simply contact our Supporter Care team 0300 365 5500 or email supportercare@dementiauk.org
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In Memory donation envelopes order form

Keeping you updated