Adams County Land & Water 2015 Tree & Shrub Sale (Please print clearly) Name: Mailing Address: City: State: Phone: Zip: Cell: E-mail: Size Price per bundle 12-16” 12-16” 12-16” 7-15” 7-15” 12-16” 7-15” 7-15” $34.00 $36.00 $36.00 $27.00 $27.00 $34.00 $27.00 $27.00 Quantity 1 = 25 trees Species Conifers Eastern Arborvitae Fir – Balsam Fir – Fraser Pine – Norway Red Pine – White Spruce – Colorado Blue Spruce – Norway Spruce – White Deciduous Trees & Shrubs Maple – Sugar Maple- Silver Maple-Red Poplar – Hybrid Crabapple – Magenta Cranberry – Am. Highbush Dogwood – Red Osier Elderberry Lilac – Common 12-18” 12-18” 12-24” 12-24” 12-18” 12-24” 12-24” 12-18” 12-18” $42.00 $32.00 $38.00 $25.00 $40.00 $40.00 $25.00 $37.00 $40.00 *********Do not forget to add tax to your order********* Total ($) Fertilizer Tablets Fertilizer Tablets 25 tablets $12.00 1 oz $6.00 Root Gel Treats 750-1200 seedlings Sub-Total Sales Tax (5.5%) Total: Return completed order form, with payment, to: LWCD PO Box 287 Friendship, WI 53934 Make check (due with all orders) payable to: Adams County LWCD Order Deadline: Friday, February 27, 2015 Order Pick-Up Dates: Friday, May 1, 2015 (12:00pm - 7:00pm) & Saturday, May 2, 2015 (9:00am - 11:00am) Adams County Fairgrounds Note: Adams County does not guarantee quality or survivability of stock. In cases of shortage, orders will be satisfied by substitution and/or refund. Orders not picked up on specified delivery dates will be disposed of and not refunded. For Office use, only. (Except, bold, for credit-card customers.) M/C Discover A/E (final four digits): ___ ___ ___ ___ (Add: $ 4.00 flat charge) Order #: __________ Total, purchase and tax combined: $ _______________ Credit-card total charge (Goods, tax, and $4.00 service fee): $ ______________
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