*Your Name
*Street Address
*City
*Prov,/State
*Postal Code
*Preffered Phone
Other Phone
*email
Name
Street Address
City
Prov,/State
Postal Code
Phone
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)
Engraved Brass Plaque  2" X 3"  Add 25.00 If you would like a plaque attached underneath the top with a message from you, please type it here.

Payment Methods
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I will pick up the Bench in Markham
How did you find out about Shepherd's Cottage
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Care of
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Choose a Bench Style
Memory Bench Order Form
Antique Extra Dark Stain
Walnut Stain
Natural Oak Blond
2"X3" Engraved Brass Plaque
 
Modern Memory Bench
We are now home again.
Please feel free to contact us and we will tell you all about snowy Vancouver Island.
Mike & Debbie