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Memorial Donation

  1. Type of donation*
  2. If donating an item other than a tree or bench, please describe in detail the type of memorial you wish to install. Include information on the dimensions of the memorial, color and size of the plaque. Please submit a picture of the memorial with this application.
  3. Indicate the preferred location for the memorial. Please note the Town reserves the right to determine the final location.
  4. Indicate the proposed inscription you wish to have on the plaque (maximum 3 lines, 100 characters).
  5. Office use only
  6. Leave This Blank:

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