Print Page   |   Contact Us   |   Report Abuse   |   Sign In   |   Register
Community Search
Memorial Garden Reservation Form
Share |
Untitled Document

THE WILLIAM AND MARY ALUMNI ASSOCIATION

THE WILLIAM AND MARY MEMORIAL GARDEN RESERVATION FORM

INFORMATION ON THE DECEASED:

Last Name_____________________________ First Name________________ MI____

Gender: Male_______ Female_______ Date of Birth_____ Date of Death_______

Affiliation with the College of William and Mary:

____ Alumni Attended from ________ to ________

____ College Employee* Employed from ______ to ______ Department ________

____ Spouse, child or parent of a qualifying individual

Name of spouse, child or parent of decedent and their affiliation with the College of William and Mary:

INFORMATION AS IT SHOULD READ ON THE WALL OF REMEMBRANCE:

The first line of decedent's information is to include complete name and preferred class year. However this information must fit in the first 31 spaces provided below. Please allow for spaces between names. The second line is reserved for the decedent's complete birth date and date of death. All names on the Wall of Remembrance will be done in a uniform font and size. Obviously for pre-planning purposes the date of death should be left empty. Should information on this Reservation Form differ from the subsequent Application form, the information on the Reservation Form shall be honored. Any changes to this information must be made in writing by the undersigned and directed to the Alumni Association at the address below.

AUTHORIZATION:
I also certify that I have received and reviewed a copy of the William and Mary Memorial Garden Policies and Procedures and agree to abide by the terms contained therein. I further certify to the best of my knowledge, that all of the information provided on this application is true and correct.

Signature _____________________ Printed Name____________________ Date _____

Mail the completed Reservation Form along with payment of $1000 to the address below. A completed Application for Interment from the individual in charge of your ashes will be due prior to internment.

The William and Mary Alumni Association
Attention Cindy Gillman
P.O. Box Alumni Drive/P.O. Box 2100
Williamsburg, VA 23187-2100

If you need further information, please contact or call Cindy Gillman at 757.221.1168.

Sign In
Sign In securely
Calendar
Online Surveys