Name (First, Last):* Email Address:* Home Number (xxx-xxx-xxxx): Cell Phone (xxx-xxx-xxxx): Local Number (xxx-xxx-xxxx): Fax Number (xxx-xxx-xxxx): Mailing Street: Job Site Address: City: Zip Code (xxxxx-xxxx): Your State of Residence Select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VI VA WA WV WI WY Canada
HANGING BASKETS:
SAME SERVICES AS LAST YEAR?	Yes No
Type QTY Descibe Exposure" (north, sunny) Color / Plant Preferences? Moss - 18" Moss - 14" Plastic - 14" Plastic - 12" Plastic - 10" Are there any plants or colors that you specifically DO NOT want included?  (All hanging baskets are pre-planted in February. We will do our best to match your request.) Please explain:
PLANTERS:
Would you like RMTL to pick up and store your planters for the winter?	Yes No
Planter Description Describe Exposure (north, sunny) Color / Plant Preferences? All planters and baskets picked up from our Garden Center need to be paid for at the time of pick up. RMTL is not responsible for planters or baskets once they have left the nursery. RMTL Delivery Date: OR, Customer Pick Up: Date:

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305 BUCKLEY DR, CRESTED BUTTE CO 81224
PHONE 970 349.6361 FAX 970 349.5237
www.rockymountaintrees.com