2. Thank you for your interest in the Rotary Park Memorial Bench Program. The benches are placed along the trails of the lake. The benches are 6 feet wide and have a powder-coat finish. Memorial plaques inset in the bench include the honoree’s name(s). Payments can be made at Village Hall by cash, check, or credit card. Please make checks payable to the Village of Cary. Those paying by cash or card must visit Village Hall in person.
4. Donor's Name
6. Address1
8. City
9. State
10. Zip
12. Phone Number
13. Email Address
15. Bench Type
    -- Select One --6' Memorial Bench ($1,000.00)6' Swing Bench ($1,500.00)

    Bench prices range from $1,000 - $1,500 depending on the type of bench chosen. The cost includes shipping and handling, assembly, pouring of concrete and engraving of the memorial plaque.

17. 
18. 
20. Would you like a memorial plaque?
    -- Select One --YesNo
22. Plaque Inscription
    The plaque inscription is limited to two lines of text. All inscriptions are subject to the Village's review and approval.
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field