Commemorative Bench and Tree Program Donation Form

Thank you for your interest in the Commemorative Bench and Tree Program. Your donation will provide a lasting tribute to a loved one while enhancing our community spaces.

A minimum donation of $20.00 is required to receive a donation receipt. An Official Donation Receipt for Income Tax Purposes will be issued within 7 business days from the donation date.

Name of Donor *

First

Last

Mailing Address of Donor *

Address Line 1

Address Line 2

City

OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvince

Postal Code

Phone Number of Donor *

Email Address of Donor *

City of Donor *

Backup Contact Information Name *

First

Last

Backup Contact Mailing Address *

Address Line 1

Address Line 2

City

OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvince

Postal Code

Backup Contact Phone Number *

Backup Contact Email Address *

Backup Contact City *

Donation Options: *

• Commemorative Bench & Plaque – $2,500
• Commemorative Native Tree & Plaque – $1,350

Line 1 of Plaque Inscription (20 characters max per line) *

Example: In Honour of

Line 2 of Plaque Inscription (20 characters max per line) *

Example: John Doe Family

Commemorative Bench & Plaque

Price: $2,500.00

Commemorative Native Tree & Plaque

Price: $1,350.00

Credit Card *

Card

Name on Card

Submit