Amityville, NY · Suffolk County
Memorial and Commemorative Gift Program Application
This application lets individuals, groups, and organizations request a memorial or commemorative gift through the Village of Amityville.
What this form is
Use this application to choose a Village gift in memory of someone, to mark a special occasion, honor an accomplishment, or give a lasting tribute. It lists benches, planters, trees, garden stones, and bulbs, with donation amounts or costs described for the options. Complete the contact information and select a gift, then return the application with payment to the Park Commission.
Who needs it
Individuals, groups, and organizations wishing to make a memorial or commemorative gift through the Village can complete this application.
How to submit it
Return the completed application with payment to Village of Amityville, Park Commission, 21 Ireland Pl, Amityville, NY 11701. The Park Commission will contact you.
About notarization
This document is completed without a notary; it asks for contact details and a donation choice, and identifies no notarized attachment or sworn step.
How to submit this form
- 1
Download the Application
Download the Memorial and Commemorative Gift Program Application.
- 2
Complete the Form
Provide your name, email, phone, and address, then check the gift option you want.
- 3
Prepare Payment
Include payment with the completed application, as requested on the form.
- 4
Return It to the Village
Send the application and payment to the Village of Amityville Park Commission at 21 Ireland Pl, Amityville, NY 11701.
Frequently asked questions
- Do I need a notary for the Memorial and Commemorative Gift Program Application?
- No. The application asks for contact details and a donation choice, and identifies no notarized attachment or sworn step.
- How do I submit the Memorial and Commemorative Gift Program Application?
- Complete the form, include your payment, and return it to the Village of Amityville Park Commission at 21 Ireland Pl, Amityville, NY 11701. The Park Commission will contact you.
- What gift options does the application list?
- The application lists benches, planters, trees, engraved garden stones, and bulbs. It provides donation amounts or cost information for the options.