Gifts Catalog Fund Form

Complete this form to be added to the memorial bench waiting list. At this time the benches are $4,000 for a 20 year partnership. At the end of those 20 years you would have the first right to renew your location or allow a member of the waitlist to assume the location. There is no fee to be added to the waitlist.

Memorial Bench Waitlist

First Name:

Last Name:

Street Address:




Phone number (preferably cell phone):

Email Address:

Preferred location of bench (for example name of a park, waterfront, downtown or anywhere):

Notes: any additional information you would like to share or questions you have about the program

Security Measure