Dog Park Memorial Plaque Application

Contact Information

Billing Address

Memorial Information

Plaque dimensions: 6” wide by 2” high (Blue Plaque with White Printing)

Purchase Conditions

All purchases of dog park memorial plaques must adhere to the following conditions:
  1. Installation of memorial plaques will be completed by Community Services Staff
  2. Memorial plaque size, style and material will be determined by Community Services Staff
  3. Plaque will be ordered by Staff and prior to installation the plaque will be approved by both Staff and the Purchaser. All ongoing maintenance of memorial plaques are the responsibility of Community Services Staff.
The cost of each memorial plaque is $30.00 ($33.90 including HST) which must be paid in full before memorial plaque installation. 

Upon submission of your completed form, please call the Town of the Blue Mountains at 519-599-3131 x254 to process payment, or visit us in person at 32 Mill Street Thornbury, ON N0H 2P0 with a separate cheque payable to The Town of The Blue Mountains.
I have read and understood the conditions listed above and wish to proceed with the memorial purchase as outlined in the completed application.