Massey University Manawatu Campus Memorial Application Form

Applicant Name:
Email address:
Address:
Mobile phone number:
Requested by:
(Department)
Memorial in remembrance of:
(Name & relationship to University)
Reasons for memorial:
Item:


Please provide details for the item/s you have selected: Wording to appear on plaque (please restrict to 50 words)
(Plaques will be placed in the future Campus Memorial Garden once available)
Preferred species of tree:
Email Address

Massey Contact Centre Mon - Fri 8:30am to 5:00pm 0800 MASSEY (+64 6 350 5701) TXT 5222 contact@massey.ac.nz Web chat Staff Alumni News Māori @ Massey