Indicate the park where the commemorative tree or bench is to be located.
If requesting a bench with a dedication plaque, please complete the fields below.
The dedication language is subject to review and approval by the City of Rockville.
I have read and understand the Commemorative Tree and Bench Program. I agree to the terms indicated, confirm my intent to purchase a tree or bench and understand that I must provide payment to the City of Rockville along with this completed application.
This field is not part of the form submission.
* indicates a required field