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2. Benches and picnic tables are a great way to honour loved ones, families or groups.

   Members of the public can purchase furniture through the Town to create a memorial for a loved one or to honour a family or group; Town staff work with donors to finalize locations and then install and maintain these items for their expected lifespan. (Please note: memorial furniture is not available to honour pets.)

   
   

   Use this form to request a bench or picnic table and indicate your preferred location. Town Parks staff approve locations based on current furniture, public access, installation access, site considerations (slope, potential flood area etc.) and impacts on plants and wildlife. Installed furniture becomes property of the Town of Cochrane.

   
   

   Please note: Applications are accepted from January 1 to May 31 each year. A maximum of six pieces of furniture are installed each year.  Installation occurs late summer/ early fall. 

4. What type of memorial furniture would you like to request?*
   -- Select One --Bench and plaque ($3300)Bench and plaque with photo ($3450)Picnic table and plaque ($4400)Picnic table and plaque with photo ($4550)
5. Fee includes:
   • Furniture: bench or picnic table
   • Plaque (with or without photo)
   • 10-year guarantee of furniture maintenance and plaque replacement (and right of first refusal to renew once the furniture becomes unusable)
   • Installation
   • Receipt for tax deduction purposes
7. Who are you honouring?*
9. Preferred location 1 (attach or request a map for markup):*
11. Any reason for this location?
13. Preferred location 2 (attach or request a map for mark up):*
15. Any reason for this location?
17. First name*
18. Last name
20. Address*
21. Town*
23. Postal code*
24. Phone number*
26. Email address*
28. FOIP Notification:

    The personal information on this form is being collected under the authority of section 33 (c) of the Freedom of Information and Protection of Privacy (FOIP) Act. Your personal information may be used by the Town of Cochrane for the purpose the information was collected or compiled or for a use consistent with that purpose. Your personal and financial information will be managed in accordance with FOIP. If you have any questions about the collection, use, or disclosure of your personal information, please see this link:   https://www.cochrane.ca/175/Freedom-of-Information

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

    This field is not part of the form submission.

32. Submit

* indicates a required field