Donation Application Form
Commemorate a loved one, celebrate a special birthday or anniversary, or support parks and trails in North Grenville by donating a bench, picnic table, bicycle rack or plant a tree.
Name
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First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Please select one of the following options: (NOTE: Donor pays 50% of the cost. There is also a $150 installation fee and $450 for concrete pad (except tree)):
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Park Bench - Black Powder-coated Steel (approx. $2394 + shipping TBD)
Trail Bench - 6’ Composite Boards (approx. $1225 + shipping TBD)
Bench - 6' (approx. $1,358.85 (TBD) + shipping TBD)
Wood Picnic Table - Galvanized (approx. $1026 + shipping TBD)
5’ Bicycle Rack (approx. $925+ shipping TBD)
Tree ($TBD)
Other
Describe other option:
Plaque and mount options shared at 50%. PLAQUE MESSAGING:
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Location Requested:
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Date Requested:
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Please read, acknowledge, and agree to the following:
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All pricing will be confirmed with donor prior to placing order.
The donor will be invoiced and shall pay 50% of the costs agreed upon prior to orders being placed.
Trees will be planted in either spring or fall.
Location requested is subject to facility needs and approval from the Municipality.
This program is designed for citizens who wish to donate or make a commemorative gift. You will receive a tax receipt for your donation.
Corporate sponsorship opportunities may also be available, however separate terms and conditions may apply.
For more information, please email parksrec@northgrenville.on.ca or call 613-258-9569 ext. 103.
Signature
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Please verify that you are human
*
Submit
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