Commemorative Bench and Tree Program Request Form

Please complete the following form. Should you have any questions, please email: tlc@town.minto.on.ca

Contact Information
Location
Location
Area
Bench and/or Tree

Tax receipt eligible

Bench and/or Tree
Tree Choice

* indicates Native species
** indicates flowering ornamental

Tree Choice
Plaque Wording

Please use 120 characters or less.

Bench Colour
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