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Memorial Bench Program Application

  1. Memorial Bench Donation Selection

  2. Preferred Memorial Bench Location*

  3. 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.

  4. Line 1

  5. Line 3

  6. Certificate Information (Optional)

  7. Leave This Blank:

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