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Commemorative Bench & Tree Program

The Commemorative Bench & Tree Program presents the opportunity for people to contribute a lasting and positive impact on the local parks, trails, and cemeteries. You may wish to honour the memory of a loved one or celebrate the accomplishment of a friend or family member by acknowledging or commemorating their life with the purchase of a bench or tree in the community.

Please complete this form to submit a request for a park bench, tree and plaque. Municipality of Northern Bruce Peninsula staff will contact you via email withing two weeks to confirm receipt of application. Applications will be reviewed within 6 weeks of application, Staff will contact donors with details about the donation, payment, etc.

Donor Full Name

Email Address

Street Address

Phone Number

City/Town

Province

Postal Code

Donation Items

Commemorative Park Bench $2,000

The Classic Heritage bench prominently represents accessibility, durability, and style. With a raised seat height of 19”, its curved back and curved bench with extra wide-grip arms provide easy ingress and egress from both seating and standing positions. The bench meets the CSA National Standard of Canada for Accessible Design.

Commemorative Park Tree $750

There are two options available for a commemorative tree:
- A newly planted tree with an engraved metal plaque installed in a concrete base;
- An engraved metal plaque and concrete base installed at the foot of an established tree, typically planted within the past five years.

Bench Plaque Options

Cast Brass

Cast Brass Plaque (2.25" x 11") $469.00

Engraved Plastic

Engraved Plastic Plaque (2.5" x 5") $85.00

Select a Donation Item

Commemorative Park Bench $2,000.00

Commemorative Tree $750.00

Additional Location Details

Total Donation Amount

Will you require tax receipts for additional donors not listed on this form?

Yes

Terms & Conditions

I agree to the terms and conditions and wish to make a donation to the Municipality of Northern Bruce Peninsula Commemorative Park Bench and Tree Program.

The Municipality of Northern Bruce Peninsula collects personal information as defined by the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c.M.56, as amended, under authority of Section 227 of the Municipal Act, 2001, S.O. 2001, c. 25, as amended. Any personal information collected by the Commemorative Bench and Tree Program application form will be used for the purposes of administering the education program, and for communicating and providing requested information. By providing your email address, you are consenting to receiving emails from the Municipality of Northern Bruce Peninsula and/or their agents/contractors related to this program. Information collected for this initiative may be stored on servers located in Canada and may be subject to Canadian laws.

Questions about the collection of this personal information can be directed to the Clerk’ Department, 56 Lindsay Road 5, Lion’s Head Ontario 1-833-793-3537