2. 

3. JOE GLIK PARK

   MEMORIAL TREE PROGRAM

   DONOR REQUEST FORM

4. 
6. Name*
8. Email Address*
9. Phone Number*
11. Address*
13. City*
14. State*
15. Zip Code*
19. TREE TYPE
21. Shade Tree
    Shade trees are 2-2.5" in caliper size
22. Price
23. Quantity
24. Shipping Cost
26. Taxable
28. Flowering Tree
    Flowering trees are typically 1.5" and 5-8 feet tall
29. Price
30. Quantity
31. Shipping Cost
33. Taxable
37. TREE TAG

    ADD ON - The following items are not required. If selected there will be an extra charge. When selecting an item, please make sure to fill out the inscription below.

39. TREE TAG
    TREE TAG- 3”X 3”: $ 12.00 (limit of five lines)
40. Price
41. Quantity
42. Shipping Cost
44. Taxable
46. INSCRIPTION:
50. PLAQUE

    ADD ON - The following items are not required. If selected there will be an extra charge. When selecting an item, please make sure to fill out the inscription below.

52. Bronze Colored In-Ground Plaque-6"x9"
    $133.46 + 6.75 for up to 15 letters
53. Price
54. Quantity
55. Shipping Cost
57. Taxable
59. Bronze Colored In-Ground Plaque-6"x9"
    $133.46 + $11.25 for 16 to 25 letters
60. Price
61. Quantity
62. Shipping Cost
64. Taxable
66. Bronze Colored In-Ground Plaque-6"x9"
    $133.46 + $22.50 for 26 to 50 letters
67. Price
68. Quantity
69. Shipping Cost
71. Taxable
73. Bronze Colored In-Ground Plaque-6"x9"
    $133.46 + $33.75 for 51 to 75 letters
74. Price
75. Quantity
76. Shipping Cost
78. Taxable
80. INSCRIPTION:
Leave This Blank:


82. Calculate Totals Proceed to Checkout

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