memform.htm

Memorial Tree Program Application Form

Plaques may be purchased from any vendor you select. Two available vendors in Janesville are Gramke Monuments and Milton Lawns Cemetery. Please remember the standard size of 2" x 10" for the plaque.

Please return the following information with your payment of $300.00 per tree with checks made out to the Community Foundation of Southern Wisconsin (CFSW) - Shade Tree Fund.

The Janesville Shade Tree Advisory Committee is pleased to help you in the selection and planting of a memorial tree in a location of your choice. A representative of the committee will be in touch with you to determine exact sites and even meet you at a specified location prior to planting. We will install the bronze plaque in a permanent block for mounting next to the tree.

Please select the tree of your choice.

___Honeylocust	___Ginkgo	___Linden
___Red Maple	___Autumn Blaze Maple	___Flowering Pear
___Crabapple	___Swamp White Oak	___Bur Oak

___No preference - Let JSTAC choose the best plant for site.

Preferred planting site and one alternate:

Preferred:

Alternate:

No Preference, let J-STAC choose a site where trees are needed most. ___

Donor Information:

Donor Name:

Honoree Name:

Donor Address:

Donor Phone Number:

All JSTAC funds are administered by the Community Foundation of Southern Wisconsin.
Please send checks and application form to:
The Community Foundation of Southern Wisconsin
Shade Tree Fund
111 N. Main St.
Janesville, WI 53545

If you have questions please contact JSTAC Secretary/Treasurer Mary Kay Thompson at 754-2123.