If you wish to add a loved one's name to the monument, please fill out the application link below. If you wish to mail in your application, please print the application and mail it to
ATTN: WBG 9/11 Benefit Fund
Washingtonville Village Hall
9 Fair Lawn Drive
Washingtonville, NY 10992
Honorees must have resided in the Washingtonville School District or Town of Blooming Grove on 9/11/2001 or the date of their passing. Please check the maps below.