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Application for Commemorative Tree and Bench Program

Establish a living legacy with a commemorative tree or bench. Our program offers donors the chance to dedicate a tree or bench in memory of a loved one or as a celebration of a special event.

Memorial tree fee - $688.50 plus HST
Bench fee - $2,969.21 plus HST

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Name of Requestor:

First Name:

Last Name:

Would you like a Donation Tax Receipt?

Yes

Address:

City:

Postal Code:

Phone number:

Extension:

Email address:

• You will also be emailed a link to process your payment, once your application has been approved.

This form may contain personal information as defined under the Municipal Freedom of Information and Protection of Privacy Act. This information is collected under the legal authority of the Municipal Act, 2001, S.O. 2001 c.25, as amended. This information will be used and maintained by the City of Oshawa for to process the request for a commemorative tree or bench donation. Questions regarding this collection may be directed to the City’s Information Access and Privacy Officer, City of Oshawa, 50 Centre Street South, Oshawa, Ontario, L1H 3Z7, 905-436-3311.

Details of Request:

Commemorative Plaque wording

You may include up to 100 characters in total, including spaces (max 25 characters per line):

Plaque wording line 1 (maximum 25 characters)

Plaque wording line 2 (maximum 25 characters)

Plaque wording line 3 (maximum 25 characters)

Plaque wording line 4 (maximum 25 characters)