Support a funeral collection in memory of a loved one

Many families choose to support Alzheimer's Society in memory of someone special.

If you're planning a funeral or memorial collection, we can provide collection boxes and donation envelopes to help collect donations in their memory.

Simply complete this form to let us know what you need.

I would like to order: *

Donation envelopes (required)

Cardboard collection boxes (required)

Let us know the quantity of each item you require (required)

Additional details (required)

Please let us know the date of the funeral and the name of the person this collection is in memory of.

Name and address *

We need your details to contact you and send your donation envelopes and cardboard collection boxes to.

The information you provide will only be used to respond to your enquiry.
Read our privacy statement to find out how we use personal information.

Full name (required)

Email address (required)

To help process your enquiry, include your address and postcode.

(optional)

Search for your address (required)

Enter a UK postcode to look up your address.

If preferred, enter or amend your address below.

Address line 1 (required)

Address line 2 (required)

Town or city (required)

County (required)

Postcode (required)

Support a funeral collection in memory of a loved one

I would like to order: *

Name and address *

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