Funeral materials

Please fill in the form below to order your funeral materials.

Your name*

First Last

Your loved one's name

First Last

They are my...

Please let us know what materials you would like*

Donation envelopes
Collection box
Purple ribbons
Other

How many envelopes would you like?

Please enter a number

How many ribbons would you like?

We can send up to 50 ribbons free of charge. If you'd like more please contact supportercare@pancreaticcancer.org.uk

If you've selected "Other" please specify

We'll be in touch shortly about your request

Please let us know when you need these items by*

Please allow 5 working days to receive your order. If you need your items earlier, please email supportercare@pancreaticcancer.org.uk

Your email address*

So we can contact you to confirm your order. We won't email you about anything else unless you choose to keep in touch at the end of the form.

Enter Email Confirm Email

Your phone number

So we can ring if we have any questions about your order

Your address

So we know where to post your items

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

We’d love to keep in touch

So we can tell you about the huge difference you’re making to our research and services. We’d also like to tell you ways you can help further, including campaigning, volunteering, fundraising and donating. If you would like to be contacted by email or text message about these topics, just tick “YES” in the boxes below.

YES, please DO contact me by email
YES, please DO contact me by SMS

Please note, the contact preferences you give to us today will override any preferences you've previously made us aware of. For more details about how we use the data you give to us, please read our privacy policy From time to time, we may also contact you by post and telephone. You can change this at any time by emailing us at supportercare@pancreaticcancer.org.uk or calling 020 3535 7090

Phone

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Funeral materials

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