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Park Bench Donation Program Application Form

Please complete the following Town of Aurora Park Bench Donation Program Application Form

The Town of Aurora standard Park Bench is complete with stainless steel tamper-proof hardware and #1 grade red-cedar planking. The Park Bench includes 3” x 8” Town standard engraved recognition plaque as per Figure 1 below.

All-inclusive price for the above, including installation is $791.

Donor Information

First Name

Last Name

Street Number and Name

City/ Town

Province

Postal Code

Telephone

Email Address

Plaque Caption

Requested Bench Location:

(Figure 1) Maximum of 20 words:

Terms and Conditions

I hereby acknowledge that the donated Park Bench will become the property of The Town of Aurora and may be relocated, removed or altered at any time and for any issue affecting the lands on which the bench occupies or for reasons of public safety.

The all-inclusive price, including installation is $791.

Please note: the Operational Services Department reserves the right to determine the final location of the bench.

Please provide a clear picture of your void cheque

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Signature:

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By signing this document, you agree to the terms and conditions