Memorial Grove Bench Stone Reservation Form

Please fill in this form accurately - you will not be able to make changes once the form is submitted. All fields are required. You will receive email confirmation, which will include a photo of the stone of your choosing, once your request has been processed.

Open the Memorial Grove Engraving Instructions

This document contains photos of the site showing location and number of each stone to be engraved, as well as an indication of stones already reserved. If you open the instructions after you start to fill out this form, just hit the Back button on your browser to return to this form - your information will still be in the form.

If you have questions or need further assistance, contact Mark Breseman:
Email: mark.d.breseman@lawrence.edu
Phone: 920-419-6675

Person to commemorate *

Full name typed as it should appear engraved on the stone.

Birth Year *

Year person to commemorate was born as it should appear engraved on the stone.

Death Year *

Year person to commemorate passed as it should appear engraved on the stone. If person is alive, this information will be collected upon passing.

Number assigned to stone you wish to have engraved *

See the Memorial Grove Engraving Instructions above for assigned stone numbers.

Your full name *

Full name of person submitting this form.

Your contact information *

Your email address *

Method of payment *

I will mail in a check for $1,000 made out to Lawrence University.

I will call Bjorklunden to pay $1,000 via credit card.

I would like to discuss a different payment method and request to be contacted via daytime phone or email.

Please select the payment method you prefer. If you choose to mail in a check, please mail to: Björklunden Memorial Grove, PO Box 10, Baileys Harbor, WI 54202. You will be notified when your check is received. If you choose to pay by credit card, please call 920-839-2216. We accept Visa, MasterCard, and Discover.

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Memorial Grove Bench Stone Reservation Form

If you have questions or need further assistance, contact Mark Breseman: Email: mark.d.breseman@lawrence.edu Phone: 920-419-6675

If you have questions or need further assistance, contact Mark Breseman:
Email: mark.d.breseman@lawrence.edu
Phone: 920-419-6675