Perkasie, PA · Bucks County
Memorial Bench Donation Form
Individuals and businesses use this form to donate or sponsor a bench in a Perkasie Borough park and request a location.
What this form is
This form lets an individual or business donate or sponsor a memorial bench in the Borough park system. Complete it if you wish to make a donation; the document lists possible locations and says other Borough locations may be considered after a meeting with the Public Works Director. It asks for the donor’s date, name, address, phone number, reason for donation, and requested location. The listed bench cost is $700.
Who needs it
An individual or business wishing to donate or sponsor a bench in a Perkasie Borough park should complete and send this form.
How to submit it
Fill out the donation form and send it to the Borough Office, Attention: Public Works, 620 West Chestnut Street, PO Box 96, Perkasie, PA 18944.
About notarization
No notary is required; the donor signs and dates the form, and the document identifies no sworn or notarized attachment.
How to submit this form
- 1
Download the Form
Download the Memorial Bench Donation Form PDF.
- 2
Complete the Form
Enter the date, donor name, address, phone number, reason for donation, and requested location.
- 3
Consider a Plaque
If desired, arrange and pay for a memorial or sponsorship plaque; the form says this is the donor’s responsibility.
- 4
Send the Form
Send the completed form to the Borough Office, Attention: Public Works, at the address printed on the form.
Frequently asked questions
- Who can submit the Memorial Bench Donation Form?
- An individual or business interested in donating or sponsoring a bench in the Borough park system can complete and send the form.
- How do I submit the Memorial Bench Donation Form?
- Fill out the form and send it to the Borough Office, Attention: Public Works, 620 West Chestnut Street, PO Box 96, Perkasie, PA 18944.
- Do I need a notary for the Memorial Bench Donation Form?
- No. The donor signs and dates the form; the document identifies no sworn or notarized attachment.