Bench Dedication Program - AJ Jolly Park & Golf Course
Jolly Park Community Development Council's bench dedication program encourages donors to honor, memorialize or celebrate a special person, place or event.  At the same time, it improves the beauty and quality of AJ Jolly Park & Golf Course.  Bench dedications can be done any time of year.  Bench dedications are $750 and include a dedication plaque.  Please complete and submit the form below and a representative from Jolly Park CDC will be in touch with you.  For more information, contact Donna Grey at or 859-640-3636.
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Date Form Being Completed *
Contact Person (first and last name) *
Contact person's mailing address (for charitable giving receipt) *
Contact person's phone number (include area code) *
Contact person's e-mail address *
Which location for the bench? *
Wording on bench dedication plaque (2-3 lines of text).    Jolly Park CDC will make very effort to meet the request of the donor with regards to bench plaque wording.  First line of plaque is standard phrase:  Bench donated in memory (or honor) of.         Below please indicate first line standard phrase, followed by name of person, company or organization (2nd line),  Optional third line at much smaller text size.  Donor will be able to approve proof of plaque before order is placed. (see sample below). *
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Payment of $750 can be made to Jolly Park Community Development Council in two ways.  Please indicate which payment method you will be using. *
Thank you for your bench dedication order.  Please hit the SEND button to place your order.  Orders will not be placed until contacted by Jolly Park CDC and details confirmed (proof of bench plaque approved by Donor) and payment received.  Please list any additional questions you have below.
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