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2. Application for Donation of Memorial Trees, Rose Bushes, Benches or Pavers
6. Donor Information
8. Name*
9. Email Address*
11. Address*
13. City & State*
14. Zip Code*
15. Phone Number*
19. Honoree Information
21. First Name*
22. Last Name*
26. Memorial Options
28. Please select the type of memorial for which you are donating*
    -- Select One --2-gallon rosebush with stake marker $5010 ft tree with stake marker $30010 ft tree with stone marker $450Bench with marker $1500Memorial Paver $100Monetary donation - unlimited

    Payment must be made in full at the time of request.

29. If you selected a tree or rose bush, please choose one of the following
    -- Select One --Monetary Donation OnlyLive OakRed OakBald CypressCedar ElmChinese PistacheLacebark ElmTexas AshParks Dept Chooses Tree TypeWhite RosesRed RosesPink RosesYellow RosesParks Dept Chooses Rose Color

    Donor preferences for tree species and rose colors will be considered, but final selection is subject to feasibility and the Parks and Recreation Department's landscaping strategy

30. Preferred Installation Location
    -- Select One --Brame ParkLions Park/Civic Center GroundsDevorsky ParkCivic Center Rose GardenMemorial Park - Pavers Only

    Please select the location in which you would like to see your memorial placed.  While your preference is taken into consideration, the final determination will be made by the Parks and Recreation Department.

34. Marker Information

    For Tree, Rose Bush and Bench Options

36. Markers are provided based upon the Memorial Option you chose

    Inscriptions for memorial trees, rose bushes and benches may contain up to three lines

38. Line 1
    -- Select One --In Memory ofIn Loving Memory ofIn Honor of

    Choose from these options

39. Line 2

    Honoree's name as you wish for it to appear on the marker

40. Line 3

    Enter your choice of the following:

    • The honoree's date of birth and death
    • "DEDICATED" with the memorial date of your choosing
    • The donor's name as you wish for it to appear on the marker
44. Memorial Inscription

    For Memorial Park Brick Pavers Only

46. Line 1

    Service Member's Name

47. Line 2

    Service Branch/Division/Company

48. Line 3

    Dates of Service

52. This section for Parks and Recreation Department Administration

    ___Donation request has been approved                           ___Donation has been received and processed

    ___Marker or Inscription has been approved                     ___Purchase of item has been recorded

Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

* indicates a required field