Death Notice Summary Order Form Payment Options Cheques Make cheque payable to: A Memory Tree Limited Post with your cheque to: A Memory Tree Limited PO Box 4078, Timaru, 7910 New Zealand Internet Banking Make payment to: 06-0821-0518149-00 Reference: Deceased’s ID Number Email this form to: [email protected] You must complete the following information Your Details Name: Email: Postal Address: Phone: Deceased’s Details ​ First Name: Last Name: ID Number: Date of Death (if known): You must select the relevant publications on next page Please select relevant publications Ashburton Courier $9.90 Northern Advocate $9.90 Ashburton Guardian $9.90 Northern News $9.90 Bay of Plenty Times $9.90 Northland Age $9.90 Bush Telegraph $9.90 NZ Herald $9.90 Central Hawkes Bay Mail $9.90 Oamaru Mail $9.90 Central Otago News $9.90 Optiki News $9.90 Coastal News $9.90 Otago Daily Times $9.90 Dannevirke News $9.90 Rotorua Weekender $9.90 Daily Post Rotorua $9.90 South Waikato News $9.90 Dannevirke News $9.90 Southland Times $9.90 Dominion Post $9.90 Stratford Press $9.90 Ensign $9.90 Sunday News $9.90 Gisborne Herald $9.90 Sunday Star Times $9.90 Greymouth Star $9.90 Taranaki Daily News $9.90 Hamilton News $9.90 Taumarunui Bulletin $9.90 Hastings Leader $9.90 Taupo Turangi Weekender $9.90 Havelock North Village $9.90 Te Awamutu Courier $9.90 Press Hawkes Bay Today $9.90 Te Puke Times $9.90 Herald on Sunday $9.90 The Press $9.90 Hokitika Guardian $9.90 Timaru Herald $9.90 Horowhenua Daily $9.90 Waihi Leader $9.90 Chronicle Kapiti News $9.90 Waikato News $9.90 Katikati Advertiser $9.90 Waikato Times $9.90 Manawatu Guardian $9.90 Waipa Post $9.90 Manawatu Standard $9.90 Wairarapa Times $9.90 Marlborough Express $9.90 Wairoa Star $9.90 Matamata Chronicle $9.90 Wanaka News $9.90 Mountain Scene $9.90 Whanganui Chronicle $9.90 Napier Courier $9.90 Whanganui Med Week $9.90 Napier Mail $9.90 Westport News $9.90 Nelson Mail $9.90 PURCHASE TOTAL $ Cheque enclosed / Internet banking payment (delete one) ​ .