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2. Thank you for your interest in our memorial bench program. This program allows individuals to purchase a bench to memorialize or celebrate a family member or friend. Benches purchased through this program will be installed in city parks or along city trails. Once the bench and commemorative plaque is in place, you will receive a certificate and a map showing the location of the bench. All benches are made of recycled materials which will provide years of comfort and durability. The cost is $600.

   *Please complete the following information

4. Name of Organization*
6. Main Contact Person(s)*
8. Mailing Address
10. City
11. State
12. Zip
14. Contact Phone Number(s)
16. Email(s)
18. Name to Appear on Sign:
20. Shall the commemorative plaque read:

    1. In honor of
    2. In memory of
22. Agreement

    I acknowledge that Memorial Benches will be made out of recycled, weather resistant material. Bench costs include a 6' bench, nameplate, and installation.

24. Name of Group Leader Accepting Agreement*
26. I have read and accept to the above agreement*

    1. Yes

28. The Branson Parks and Recreation Department reserves the right to deny any application in which content, wording, or message is deemed to be unsuitable for public areas where children and protected groups may visit.

    
    

    *Checks can be made out to Branson Parks and Recreation, c/o Memorial Program at 1501 Branson Hills Pkwy Branson, MO 65616.

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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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