Please complete this form to let us know the name(s) of the loved one(s) that you would like to display around the Telford Tree of Light.
If you'd prefer to write on a paper form please download a form and send it to us with your donation (cheques payable to Telford Tree of Light, please).
Please complete any names and address details as they are to be printed, i.e. with capital letters at the start of each name.
Please keep messages short, otherwise they may be abbreviated and printed in a small size font.
After submitting your application please make your donation.
If you have not dne so already please make your donation (a minimum of £5.00 for each entry) by clicking the donate button in the menu on the left after submitting this form.