1
WOUNDED WARRIORS CANADA
(Canada Revenue Agency – Charity # 82808-2727-RR0001)
Park of Reflection
Tribute StoneOrder Form
The Park of Reflection is intended to provide a gathering space to give thanks, show respect, and provide sanctuary for our ill and injured uniformed service personnel, their families, and Canadians alike. This will be the first of its kind in Canada, proudly situated in Whitby’s Cullen Gardens.
Themen and women of our uniformed service dawn their uniforms each day with unlimited liability placed on their health and safety – risking their lives for our safety and security both domestically and internationally. Members of our uniformed service personnel include those from the Canadian Armed Forces, RCMP, Police, Fire, EMS, Coast Guard and Border Security Service personnel.
The park’s design symbolizes and augments their journey back to health and represents the sacrifices those in uniform have and continue to make for our peace and security. The Park of Reflection will be a place for all to visit, reflect, pay tribute, and share in remembrance that freedom is not free.
As part of the design of the Park, tribute stones are being used as a way to honour individuals who have become ill or injured in their respective line of duty. The tribute stones are 12” x 12” and will be placed within the parks inner labyrinth.
Each tribute stone can be engraved with a 5” x 5” crest withup to four lines of 20 characters including spaces and punctuation per line which can include anything from the person’s name, unit, position, date of service, date of injury or anything that the person who the stone is being commissioned for wishes.
Tribute Stone $500.00 Bench with Inscription$5000.00
Top of Form
Purchaser Information:
Purchaser Name (required):______
Address:______City:______
Province: ______Postal Code:______Telephone: ______
Email (required): ______
Please complete the following information about the individual the stone is being purchased for:
First Name: ______Last Name:______
Are they still serving or are they retired?YesNo
What is there branch of Service? ______
Is this individual still alive: YesNo
If yes, please provide their E-mail:______
If no, please provide their next of kin E-mail: ______
Tribute Stone Engraving
Note: All text will be centered on the stone. Each line is limited to 20 characters.
Crest:______
Line 1:______
Line 2: ______
Line 3: ______
Line 4:______
Special Requests:______
______
Payment Options
How would you like to pay for this Tribute Stone?
Cheque or money orderVisaMaster Card
Please do not hesitate to contact us at
WOUNDED WARRIORS CANADA 310 Byron Street South, Suite 4, Whitby, ON L1N 4P8 Tel: (888) 706-4808