Memorial Bench

Document Sample
Memorial Bench Powered By Docstoc
					                            Memorial
                                Bench
                            Honoring Citizens of Topeka


Name (person purchasing bench): __________________________________________

Address: ____________________________________________________________

City: __________________________ State: ________________ Zip: ___________

Home Phone: _________________________ Cell Phone: ______________________

E-Mail Address: ______________________________________________________

                    Memorial Bench Information
Honoring: ___________________________________________________________

Desired Inscription (see attached list): _______________________________________

Desired Park/Location: _________________________________________________

   Please mail this sheet along with a check made payable to Parks and Recreation
               Foundation to: Topeka Parks and Recreation Foundation
                               Attention: Teri Simpson
                                    620 SE Madison
                                Topeka, Kansas 66607

     If you have any questions please contact Quail Lowe at 368-1663.

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:12
posted:4/26/2010
language:English
pages:1