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2. Memorial Bench Program Description
   Woodbridge Parks and Recreational Fields are special places for many people. The Town of Woodbridge offers a Memorial Bench program to accommodate requests to honor the people or organizations that have made a difference in our community.

   
   To Request A Memorial Bench:
   The purchase and installation cost per bench must be paid in-full by the individual or organization requesting the Memorial Bench. Upon approval of application (including any inscription text) and receipt of payment, the bench will be ordered and installed by the Town's Public Works Department. Please allow 3 to 4 months for delivery and installation after payment is received. Once accepted, the donated bench becomes the property of the Town of Woodbridge. The Town reserves the right to modify (including to repair, remove or relocate) any memorial bench as needed.

3. 

   (example of bench)
5. Pricing
   Bench options: 6 foot bench -- $2,800; 8 foot bench -- $3,100. Pricing includes plaque. Pricing is subject to change.
7. To request a Memorial Bench, please fill out this form and click submit.
11. First Name*
12. Last Name*
14. Address*
16. City*
17. State*
18. Zip Code*
20. Phone Number*
21. Email Address*
23. Plaque Requested*

    1. Yes
    2. No
24. If Plaque Requested, Please Provide Dedication Text (wording for plaque)*
    Plaques measure 2" by 10" and are centered flush on the top front slat of the bench. Inscriptions can be up to four lines, with an approximate limit of 56 characters per line (including spaces). No graphics or logos allowed. Verbiage must be approved by the Town.
26. Requested Location*

    1. Fitzgerald Tract -- community gardens
    2. Fitzgerald Tract -- back field
    3. Pease Place Playground

    1. Alegi Ball Field
    2. Center Ball Field
    3. West River Ball Field

    1. Acorn Hill Ball Field
    2. Town Green/Center
    3. Trailheads (various locations)
28. How would you like to make your payment?*
    -- Select One --Pay by check (send by postal mail)Pay in person at Public Works (15 Meetinghouse Lane)
Leave This Blank:


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

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field