Memorial Tree Plantings by MemorialTrees.com - Honor the Memory of a Loved One - funerals, remembrances, bereavement, sorrow, death, dedicated tree, gift tree, to restore the environment

Order Form
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Gift Information
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If Other:

*TO:*
*Name of Honored Person:
Nickname:
*Type:	Male Female Couple Pet
*Age at Death:	0-1 year 2-10 years 11 to 20 years 21-50 years 51 years and up Unknown
*Given By:
*Choose Card Number:	See Card Selections
*Choose Letter Number:	See Letter Selections
Personalized Message: (Personal message to go on card - optional - 30 word maximum.)
*Plant Tree(s) In:
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*MAIL CERTIFICATE AND ACKNOWLEDGEMENT TO:*
*Title:	Mr. Mrs. Ms. Dr.
*Full Name:
*Address:
*City:
*State/Province:	*Zip/Postal Code:
*Country:
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**GIFT ITEM:*	.
	Plant 1 Tree... $29.95 US Dollars
	Plant 3 Trees... $59.95 US Dollars
	Plant 5 Trees... $99.95 US Dollars
	Plant 10 Trees... $150.00 US Dollars
- Quantities of 15, 25 or 50 trees include a frame of your choice -
	Plant 15 Trees... $190.00 USD (with silver frame)
	Plant 15 Trees... $190.00 USD (with gold frame)
	Plant 25 Trees... $250.00 USD (with silver frame)
	Plant 25 Trees... $250.00 USD (with gold frame)
	Plant 50 Trees... $400.00 USD (with silver frame)
	Plant 50 Trees... $400.00 USD (with gold frame)
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	Add a Silver Frame... $17.95 US Dollars
	Add a Gold Frame... $17.95 US Dollars
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Special Instructions: (additional cards & certificates, address changes, alternate recipients, etc.)
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YOUR PERSONAL BILLING INFORMATION:
*Full Name:
*Address:
*City:
*State/Province:	*Zip/Postal Code:
*Country:
*Phone:
*E-Mail:
.	.
*Payment Via:	MasterCard VISA American Express
*Card Number:
*Card Expiration:	MMYY
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1-888-281-3399
FAX 603-838-6176