Once you have read through our Commemorative Gifts page, please complete this form. "*" indicates required fields Δ Your Name* First Last Email* Phone*Preferred Regional Park*Aldergrove Regional ParkBarnston Island Regional ParkBelcarra/təmtəmíxʷtən Regional ParkBlaney Bog Regional Park ReserveBoundary Bay Regional ParkBrae Island Regional ParkBrunette-Fraser Regional GreenwayBurnaby Lake Regional ParkCampbell Valley Regional ParkCapilano River Regional Parkƛ̓éxətəm (formerly Colony Farm) Regional ParkCrippen Regional ParkDeas Island Regional ParkDelta Nature Reserve (part of Burns Bog Ecological Conservancy Area)Delta South Surrey Regional GreenwayDerby Reach Regional ParkFraser Islands Regional Park ReserveGlen Valley Regional Park, Two-bit BarGrouse Mountain Regional ParkIona Beach Regional ParkKanaka Creek Regional ParkLynn Headwaters Regional ParkMinnekhada Regional ParkNorth Alouette Regional GreenwayPacific Spirit Regional ParkPitt River Regional GreenwaySeymour River Regional GreenwaySouth Langley Regional ParkSurrey Bend Regional ParkThwaytes Landing Regional ParkTynehead Regional ParkIf you have a preferred area/location in the regional park, please specifyNot requiredPreferred Commemorative Gift* Bench ($4,100) Picnic Table ($4,040) Pre-paid, including taxes. Includes a $2,500 charitable tax receipt.Reason or dedication for the commemorative gift*Acknowledgement* I understand that the installation process normally takes about three months.Please note that the timing of commemorative gift installations depends on several factors, which have become more complex in recent years. We appreciate your patience.