2004 TREE PACKET ORDER FORM
** Please print the following information
Name: _______________________________________ Address: ____________________________________________
City, State, ZIP: ________________________________________________ Phone: _____________________________
Notify via email for 2005 sale at: _______________________________________________________________________
| # | Name (Number of items in packet) | Quantity | X | Price | Total |
| A | Pink Flowering Dogwood (2) | X | $12.00 | ||
| B | White Flowering Dogwood (5) | X | $6.00 | ||
| C | Eastern Redbud (5) | X | $8.00 | ||
| D | Red Maple (2) | X | $6.00 | ||
| E | Red Oak (2) | X | $6.00 | ||
| F | Persimmon (5) | X | $12.00 | ||
| G | Serviceberry (5) | X | $12.00 | ||
| H | Forsythia (5) | X | $12.00 | ||
| I | Burning Bush (2) | X | $10.00 | ||
| J | White Pine (10) | X | $8.00 | ||
| K | Norway Spruce (10) | X | $8.00 | ||
| L | Colorado Blue Spruce (5) | X | $6.00 | ||
| M | Pachysandra (25) | X | $12.00 | ||
| N | English Ivy (25) | X | $12.00 | ||
| O | Midwest Wildflower Seed Mix (1) | X | $12.00 | ||
| P | Low Growing Wildflower Seed Mix (1) | X | $12.00 | ||
| Q | Planting Bar (1) | X | $35.00 | ||
| R | Marking Flags (1) | X | $0.10 | ||
| S | Bluebird Box (1) | X | $12.00 | ||
Total $ |
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Signature:
________________________________________________________________________________
Your signature verifies your acceptance of the sale terms listed on the
cover of the Butler SWCD's quarterly newsletter, Vol.61, Iss.1. Your payment must
accompany the tree packet order. Please make your check payable to the Butler SWCD,
and mail it in with this form to: 1810 Princeton Road, Hamilton, OH 45011. The
deadline to place an order is Monday, March 22, 2004.
This form, downloaded from the Butler SWCD website, will be
included in a drawing for an American Forests certificate, which can be used
toward a Historic Tree ($40 value).
.