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Memorial Bench Program Application

  1. Memorial Bench Donation Selection

  2. Preferred Memorial Bench Location*

  3. *Please note: The Eldridge Park lake loop area is unavailable for bench placement.

  4. Select to confirm selection (prices shown are approximate and actual cost may vary slightly)

    $600; Includes the installation of a 6’ recycled plastic bench with back and engraved bronze plaque inset on the middle slat of the bench’s front side.

  5. Line 1

  6. Line 3

  7. Certificate Information (Optional)

  8. Leave This Blank:

  9. This field is not part of the form submission.