Equipment Order Form

Ellenville Playground

Piece of the Playground Order Form

To reserve a piece of the playground:

Complete the form and check the box next to the piece you wish to sponsor then click the submit button.

To submit payment for sponsored piece:

Please print the form and mail it with your payment to:

Ellenville Playground

PO Box 715

Ellenville, NY 12428

Make checks payable to: Ellenville Playground Fund

Sponsors will have their name(s) engraved on a plaque that will be affixed to the sponsored component in the playground.

Their names will be added to our website and, will have the gratitude of hundreds of local children and their fammilies for generations to come.

Name
Phone #1
Phone #2
Email
Amount to be sent
Twirley Slide $3,000
Pirate Ship $3,000
Tree Fort $2,500
Swings (1- bay) $1,000 each
Spider Web $1,600
Climbing pods $1,500
Dino Dig $1,000
Dragon Wave Slide $1,200
Tee-Pee $1,200
Rope Climb $500

Please mail a check within two weeks of agreeing to sponsor equipment to avoid over sale.