Commemorative Bench Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The Legacy Giving Commemorative Bench Program allows our supporters to honor the life of a friend or family member and provide an attractive and useful amenity to the park and its green spaces.

Legacy Greenscapes (LG) strives to maintain a diverse and user-friendly experience throughout our parks system. LG has identified 6 current locations for bench installations in accordance with current park needs and activities and future plans.

Bench Selection and Engraving: For the sake of conformity in appearance and quality of the product necessary for installation in a public space the LG board has identified the specific bench that will be installed on park grounds. The approved style of bench is the KirbyBuilt Hampton Bench.

Cost of bench purchase and installation: $2,500

Commemorative plaque on the top board of the Bench: $175 - $200

The placement of memorial benches is limited at Legacy Grove. We will have a total of 6 benches available for the program.

* Benches will be available on a first come - first serve basis.

* Legacy Greenscapes reserves the right to reject any bench application, for any reason.

* All payments must be received in full prior to bench installation and/or plaque ordering.

* Complete the form below. You will receive an email from djackson@legacygreenscapes.org confirming your application status.

Email *

Next Steps!

Thank you for your interest in the purchase of a Legacy Grove Park Commemorative Bench. We will contact you soon with more infomation on your application status. Please note that there are only 6 benches available at this time and some applications will not be accepted due to availability.

If we confirm your request for a bench purchase you will recieve more information on steps for submitting payment.

Your Name *

Your Phone Number *

Your Email Address (Please provide a reliable address that is checked frequently. Application approvals will be sent via email. Applicants who do not respond to emails within 48 hours will forfeit their application.) *

I have reviewed the Legacy Greenscapes Bench Program Frequently Asked Questions document. *

Yes

I would like to purchase a Legacy Greenscapes Memorial Bench ($2,500). *

Yes

I would like to add a personalized plaque onto the bench ($175). Example below. *

Yes

Maybe

Person/Group/Event for whom the bench is being purchased. (Please provide name.) *

I am aware that the bench style has been previously determined and my donation will apply to payment for the purchase and installation of a KirbyBuild Hampton Bench. *

Yes

I understand that there are previously determined locations for placement of the benchs at the park and the bench I purchase will be placed at one of these sites. *

Yes

I am aware that the cost of the bench is $2500 and an additional bronze plaque (if requested) is $175 and that I am required to pay these in full prior to the installion of the bench. *

Yes

I am aware if I do not make full payment for the bench within the requested deadline, I will forfeit my application for the bench. *

Yes

If you plan to purchase a commemorative bronze plaque to be placed on the bench, you may add 3 lines of text with 20 characters/spaces maximum per line.

PLEASE LIST YOUR DESIRED TEXT BELOW.

(Text will be confirmed with you before purchasing plaque.)

I understand that Legacy Greenscapes may reject my bench application, for any reason.

Yes

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Legacy Greenscapes. Report Abuse

Forms