Columbia, IL · Monroe County
Memorial Bench Donation Program
Individuals or groups use this form to order a donated park bench commemorating a special event or remembering a loved one in Columbia.
What this form is
The Memorial Bench Donation Program form lets individuals or groups order a park bench for a location along the GM&O Heritage Trail or at Admiral-Trost Park. It asks for donor contact details, a preferred location, and up to three lines for a memorial plaque, with 14 letters or spaces per line. The cost is determined at the time of order; contact the listed city representative for an estimate.
Who needs it
Individuals or groups wishing to donate a memorial bench at one of the city’s identified locations can complete this ordering form.
How to submit it
Make a check payable to the City of Columbia and return the form and payment to the Bench Donation Program at 208 S. Rapp Ave., Columbia, IL 62236.
About notarization
This document is signed without a notary; it identifies no sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Memorial Bench Donation Program form.
- 2
Complete The Ordering Details
Enter donor contact details, select a preferred location, and provide up to three plaque-message lines of 14 letters or spaces each.
- 3
Prepare Payment
Make a check payable to the City of Columbia; the cost is determined at the time of order.
- 4
Return The Form And Payment
Send both to the City of Columbia Bench Donation Program, 208 S. Rapp Ave., Columbia, IL 62236.
Frequently asked questions
- Do I need a notary for the Memorial Bench Donation Program form?
- No. This document has no notary block and identifies no sworn attachment; the signer just signs and dates it.
- How do I submit the memorial bench form?
- Make a check payable to the City of Columbia and return the form and payment to the Bench Donation Program at 208 S. Rapp Ave., Columbia, IL 62236.
- What information does the form request?
- It requests your name, address, phone number, email address, preferred location, and up to three lines of plaque wording, with 14 letters or spaces per line.
- How much does a donated bench cost?
- The cost is determined at the time of order. The document says it includes the bench, concrete, labor, and a memorial plaque; contact Mike Sander for an estimate.
Need something notarized?
This Memorial Bench Donation Program doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.