SQ TESTDiagnostic Page – You shouldn’t be here 🙂 Testing Fall Memorial Registration Name(Required) First Last Address(Required) Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email(Required) Phone(Required)Please tell us how you would like to honour your loved one(s) as part of this memorial event.MEMORIAL TREE/SHRUB Yes, I would like to purchase a memorial tree/shrub There are only 100 trees and shrubs available. The limit is one per person being honoured. Tax receipts will be issued for tree/shrub purchases only. Memorial Tree/Shrub Price: Please share the name(s) of the people who are being honoured with this planting. DEDICATION SIGNSPLEASE NOTE: The sign is 18×12 on coroplast with an h-stake. It is NOT a plaque. It is temporary and onsite only for the day of the event. You are welcome to take it home after the event. Yes, I would like to purchase a dedication sign for the walking path Dedication Sign Quantity(Required) Price: $ 50.00 CAD Quantity Please share the name(s) of the people being honoured with this sign(s). If you are ordering more than one sign, please be sure to include all the names you would like included.BUTTERFLY MEMORIAL GARDEN KITS Yes, I would like to purchase a butterfly garden kit The kits will be available for pick-up at the event. If you aren’t planning on attending, we will make alternate pick-up arrangements wtih you.Butterfly Memorial Garden Kit Quantity(Required) Price: $ 45.00 CAD Quantity GLASS BUTTERFLY KEEPSAKE Yes, I would like to purchase a glass butterfly keepsake Please note the colour of the glass butterfly may vary. They will be available for pick-up at the event. If you aren’t planning on attending, we will make alternate pick-up arrangements wtih you.Butterfly Keepsake Quantity(Required) Price: $ 25.00 CAD Quantity Please tell us how you would like to participate in the event.(Required) I would like to plant my tree/shrub and attend the dedication ceremony. I would like someone else to plant my tree/shrub, but I will attend the dedication ceremony. I would like someone else to plant my tree/shrub and I will not be attending the event. I would only like to attend the dedication ceremony Please let us know how many people will be attending. Thank you for your support of this event. Your total is below. A reminder that tax receipts will be issued for the purchase of trees only. Total Payment Options(Required) Pay with your credit card Send payment via e-transfer (Registration is not complete until payment is received) Not applicable, I’m only attending the dedication ceremony Interac Money Transfer: Send payment via e-transfer to etransfer@bfomidwest.org. Auto-deposit is enabled so no password is required.Credit Card(Required) Cardholder’s Name Card Details
