Memorial Bench Program

Minocqua Winter Park Foundation Memorial Bench Form

Bench Options:

$500 Trail Side (Please indicate in the Comments Section your top 3 locations in order of preference)

$750 Inside Chalet

Plaque Engraving Text:

Plaque is 3" x 8" black brass on burnished brass. Letter height is 1/4" with up to 40 characters and four lines in Roman Font. **Please indicate text in Comments Section**

EMAIL info@minocquawinterpark.org to schedule a time to visit and discuss locations

First Name: Last Name: Email: Phone: Address: City: State: Zip: - Bench Options:

$500 - Trail Side

$750 - Inside Chalet

Other Amount

$500 - Trail Side

$750 - Inside Chalet

Other Amount

My employer will match my gift. Please contact me!

Employer Match

Comment:

Billing Information

Payment method: Credit Card
American Express

Pay Later

While credit card is preferred, if you prefer send in payment select Pay Later from above.

Card:

Cardholder First Name: Cardholder Last Name: Cardholder Email: Billing Address: City: State/Province: Zip Code: - Country:

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

Please check the box below if you prefer to send payment by mail.

Payments can be mailed to:

Minocqua Winter Park
PO Box 1090 PMB 234
Minocqua, WI 54548

I will mail in a check or money order

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.