Remembering Absent Friends Dedication Form

Your Details

Dedication to Your Absent Friend

Click or drag a file to this area to upload.
Image must be in jpg or png format and be no larger than 6MB. Please allow for a short delay, while the image is uploaded. Larger images may take longer to upload.
By submitting this form you are consenting for St Andrew’s Hospice to publish this photo and your dedication on their public website. Any offensive photos or dedications will not be published - we will inform you by email if there is an issue with your dedication/photo.