Pewamo, MI · Ionia County

No notary required

Donate a Bench Order Form

The Donate a Bench Order Form lets people provide applicant details and choose a bench and personalization when placing a donation order with the Village of Pewamo.

What this form is

Use this form to order a four-foot or six-foot Cambridge bench and select engraving or a bronze-cast plaque. It asks for applicant contact information, bench and customization choices, inscription wording, and the total due. Return the completed form to the Village of Pewamo; the manufacturer will then provide a quote and proof for approval before production.

Who needs it

Anyone wishing to donate a bench and provide personalized wording for the Village of Pewamo should complete and return this order form.

How to submit it

Return the completed order form to the Village Clerk, Sandy Wolniakowski, at 130 East Main Street, PO Box 385, Pewamo, MI 48873-5102.

About notarization

This order form is completed without a notary; the document says to sign the manufacturer’s proof for approval or reply by email approving it.

How to submit this form

  1. 1

    Download the Form

    Download the Donate a Bench Order Form and review the bench and personalization options.

  2. 2

    Complete the Order Form

    Provide your applicant information, choose a bench length and customization, and print the inscription clearly.

  3. 3

    Return It to the Village

    Send the completed form to Village Clerk Sandy Wolniakowski at the address listed on the form.

  4. 4

    Review and Approve the Proof

    Review the quote and proof from Polly Products, then sign and return the proof or approve it by email.

Frequently asked questions

What does the Donate a Bench Order Form ask for?
It asks for your contact information, bench length, personalization choice, inscription wording, and total due. You return the completed order form to the Village of Pewamo.
How do I submit the Donate a Bench Order Form?
Return the completed form to Village Clerk Sandy Wolniakowski at 130 East Main Street, PO Box 385, Pewamo, MI 48873-5102. The manufacturer will provide a quote and proof afterward.
Do I need a notary for the Donate a Bench Order Form?
No. This order form does not require notarization. The document says to sign the manufacturer’s proof for approval or reply by email approving it.
How is payment handled for a bench order?
Payment is made directly to Polly Products after a quote is provided. The document lists check or cash by mail or drop-off, and card or e-check through the manufacturer’s payment portal.

Need something notarized?

This Donate a Bench Order Form doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.