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2. Go Back
   Return to the Bench Donation Program web page
4. First Name*
5. Last Name*
7. Preferred Bench Location*
   NOTE: Final site and location will be decided by City of Issaquah Park Planning staff in coordination with the Donor. Bench may only be installed on City of Issaquah property and some sites may be unavailable for bench placement.
9. View Preapproved Donation Bench Locations
   Bench Locations
11. Requested Inscription on Plaque*
    NOTE: Plaque language shall be text only (no signs, symbols, or logos) and be approved by the City. 1-4 lines, max 35 characters per line, including spaces and punctuation. Please check spelling and punctuation.
13. Phone Number*
14. Email Address*
16. Billing Address 1*
18. Billing Address 2
20. City*
21. State*
22. Zip*
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field