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Snowdrops, afternoon, Cumbernauld Glen, 22.01.2012, overcast - Katrina Martin / 2020VISION

Dedication Submission Form

Please use this form to send us a dedication for the memory wall. If you have any questions, or would like to speak to someone directly, please call us on 0121 523 0094, or e-mail fundraising@bbcwildlife.org.uk

This is how your name will appear after the dedication. You might want to keep this as a first name, or a group of people.
Tick this box to upload your own image for the dedication. Untick the box to provide information so that we can select an image on your behalf.
One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, svg.
10 MB limit per form.
Additional information that will help us to select an appropriate image. Usually, this would be a favourite animal, plant or tree species, or a habitat or place.