Sponsorship Request Form Name:Address:Address Line 2:City or Town:State or Province:Zip or Postal Code:Phone:Email:I would like to sponsor: Select one Bench - $650 Picnic Table - $1100 Tree (1 year warranty) - $365 Wildflower Seeds- $180 per quarter acre Undesignated parks gift I request my donation be placed (note- view options for bench placement): Select one No preference Along the Ohio to Erie Trail Center Green Park Freeman Road Park FA FB FC FD FE Hilmar Park HA HB HC HD Jaycox (Winter Park) McNamara Park Worthington Road Park (Community Garden) Add-on option: Commemorative pavers (12"x12") are available at no additional charge for bench and picnic table purchases only. If you've selected this option, please provide up to 7 lines of lettering with 19 characters or spaces per line. Paver lettering- line 1:Paver lettering- line 2:Paver lettering- line 3Paver lettering- line 4Paver lettering- line 5Paver lettering- line 6Paver lettering- line 7Biography (optional):Submit up to 100 words to be published on the Township's "memory book" webpage to create an ongoing historical record of the residents living in Genoa Township who have been honored with a park improvement. Photograph (optional):Submit a photograph to accompany the biography to be published on the Township's website. A .jpg format is preferred. Staff will verify that a suitable location for the requested item can be found within the specified park. Payment is not expected until after details of the placement have been confirmed.