Hospital Contact Information

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Ward Phone*
Contact Name*
Job Title*

Memory Boxes Required

Please use the drop down fields to select the type of boxes required and how many you would like to order.

Small boxes are recommended to honour babies under 14 weeks gestation.

Medium boxes are recommended to honour babies between 14 and 24 weeks gestation.

Large boxes are recommended to honour babies over 24 weeks gestation.

Sample Memory Boxes
Additional Knitted Items Required?
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