Memorial Tree Program
Donation Form 

Name:_________________________________

Address:_ ______________________________

City/State/ZIP: __________________________

Telephone: _____________________________

email address: ___________________________

This tree is in memory of:

Person/Event: ___________________________

From: _________________________________

Desired Tree Location? (select one RED tree number per donation form as listed on maps, 
City Park, Side Park or Walker Park)

    City Park            Tree # _______

    Side Park           Tree # _______

    Walker Park       Tree # _______

Donation Amount Enclosed: $_____________ (Donations of $ 85  will purchase and install a tree of your choice and memorial plaque.  Please note, trees are reserved on a first come, first reserved basis.)  Mail this form, along with your donation (payable to the N.I.C.E. Committee) to:

N.I.C.E. Committee                                         or you may make your selection at:

% Sarah Martin                                                Udall City Building
109 N Hilltop                                                   110 S Main
Udall, KS  67146                                              Udall, KS  67146

Phone: (620)782-3628                                                      Phone:  (620)782-3512

Memorial trees:  A gift that lasts for several lifetimes