Concrete Foundation Form Please ensure to fill out all of the fields. Your Name: Forward bill to: Brockie Donovan Guinn Brothers Memorials Guinn & Simpson Memorials Larsen's Memorials M.C. De Landes Monuments Rapid City Memorials Other Please indicate billing contact info: Full Name (no initials): Address: City: Province: Postal Code: Phone Number: Information: Install foundation for: First Name: Last Name: Single or Double Plot: Single Double Location: Lot Block Section [Don't know location? Search here.] Location: Lot Block Section [Don't know location? Search here.] Type of memorial Please select Children Flat Pillow Upright Veteran Flat Veteran Upright Size of base: Width " Length " Height " Comments: Verification: Disclaimer: The City of Brandon will not use, share or sell any personal information with any third party without the user's knowledge and consent. We do not collect email addresses without the user's knowledge. Any contact information provided by the user will only be used to respond to any requests. The City of Brandon is not liable for any damages of any kind resulting from the use of, or reliance on, the information, material or links contained on this Site, or on any third party web site linked to this Site. If you have any concerns or complaints about the way your information has been handled, please contact i.richards@brandon.ca.
