*Your Name
*Street Address
*Postal Code
*Preffered Phone
Other Phone
Street Address
Postal Code
Care of
Shipping Address ...if different than previous
If you are sending this directly to the recipient, would you like a card enclosed with a message from you?
Carving Instructions
Long Side #1
Long Side #2
Short Side #1
Short Side #2
The names are usually carved on the long sides and there is a limit of 13 characters or spaces, while the short sides have the date and 7 characters and spaces.
Options some at additional cost

Choose a Stain Colour
One Memory Bench  12"X 18"X 18 " Tall    $295.00 (including word carving)
Under the Top Direct Wood Engraving Add 25.00
If you would like a message from you underneath the top, please type it here.

Payment Methods
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I will pick up the Bench in Markham
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Care of
* required information
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Choose a Bench Style
Memory Bench Order Form
Antique Extra Dark Stain
Walnut Stain
Natural Oak Blond
Modern Memory Bench
Direct Engraving on the
underside of the top.