Application for memorial tree

Application for Memorial Tree

PRIVACY NOTICE

In submitting this form, you consent to Council:

Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request.

You may access any of your personal information that Council holds upon request.

Applicant first name *

Applicant last name *

Email Address

Contact number *

Street/ postal address

Suburb

Postcode

This name will be used as reference in all correspondence and for the memorial tree certificate.

In memory of first name

In memory of last name

Age of person been commemorated at time of their death

Date of Death

Why would you like to dedicate a memorial tree to your loved one

Your preferred locationPlease type the name of the Open Space where you would like the memorial tree to be planted.

Why is this your preferred location

We have weekday or weekend options, please note that additional fees will apply for weekend planting and Public holidays.

Weekday planting date

Weekend planting date

As a part of this application, a non refundable $111.50 administration fee will apply.

Payment *

Our Memorial Trees are intended to commemorate those who have upheld the values of the community and of Council.

I have read Council's Memorials Policy and understand the terms and conditions of applying for a Memorial Tree within a Public Open Space.