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2. Legacy Grove Memorial Program

   Thank you for your interest in the Legacy Grove Memorial Program. Located at the Woodland Community and Senior Center, Woodland's Legacy Grove Memorial Program can to honor a person, family, or group with a tree dedication or a bench dedication.  Trees are $350 and benches are $3,000.

4. First Name*
5. Last Name*
7. Email Address*
8. Phone Number
10. Street Address*
12. City*
13. State*
14. Zip Code*
16. Select the memorial options
    -- Select One --Tree - $350Bench - $3,000
18. Inscription for Tree

    Limited to 2 lines, up to 15 characters. Refer to map to select the tree number.

19. Inscription for Bench

    Limited to 1 to 3 lines of text. Refer to map to select bench number.

21. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    Trees and benches are reserved upon final processing of application and payment.

    1. I agree
23. Electronic Signature
24. Date*
    Date
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field