Fillable Tree Order Form Hand Plant 2022 Fillable

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Tree Order Form Hand Plant 2022 Fillable

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Name: Phone:
Address: Date:
Qty
Golden Currant
Hazelnut Notes:
Lilac
Redosier Dogwood
Sandcherry
Serviceberry
Sumac
Qty Quantity Total Price
American Elm
Trees (Bareroot)
$5.50 / 5 trees
Black Walnut
Trees (Potted)
$10.00/5 trees
300' Rolls $105.00 ea
Catalpa 500' Rolls $175.00 ea
Squares $2.00 ea
Fabric (Linear Foot)
$0.35/LF
Green Ash Staples $0.25 ea
Tree Tube & Stake $3.00 ea
Honey Locust Sub Total
Bareroot Conifers Qty State Sales Tax 5.50%
Austrian Pine
Black Hills Spruce
Colorado Blue Spruce
Ponderosa Pine
Red Cedar
Rocky Mountain Juniper
Scotch Pine
Date Invoiced: Inv. #:
Qty
Date Paid:
Check Cash
Check #:
Card Type:
Date NRD
Date
NRD
Bundled: Initial:
Received:
Initial:
Bareroot Shrubs
American Plum
Buffaloberry
Caragana
**Orders must be
in increments of 5**
Plan for the future,
Plant trees today!
Hand Plant Tree Order Form 2022
Red Cedar
Rocky Mountain Juniper
Please select pick up location
Chadron
Alliance
Total Amount Due:
Return Orders to:
Upper Niobrara White NRD
430 East 2nd Street
Chadron, NE 69337
Phone: (308) 432-6190
Email: goes@unwnrd.org
Office Use Only
Ponderosa Pine
Potted Conifers
Bur Oak
Cottonwood, Hybrid
Cottonwood, Native
Credit Card
Chokecherry
Totals
Cotoneaster
Elderberry
*Trees will be available for pick up in early April
Website: nrdtrees.org
*Tree Survival is not guaranteed
*Please call for availability and inquire about species not listed
Colorado Blue Spruce
*A 4% Convenience Fee will be added to each credit card transaction -
no additional fees for cash or check*
*Payment is required before trees can be picked up!*
Bareroot Deciduous
Woods Rose
Hackberry
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Tree Order Form Hand Plant 2022 Fillable

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Completed 7 January 2022

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