Adopt a Tree or Wreath Order Form

Name

Address

Phone

Email

example@example.com

Acknowledgement for Plaque (Choose one the list name to go on plaque)

In Honor of In Memory of Adopted by

Name for plaque

Example: The Smith Family, The Smith's, Sue & Joe Smith etc.

My Products

Adopt a Wreath

$ 35.00 Quantity

Adopt a Tree

$ 125.00 Quantity

Total

$ 0.00

How did you hear about the Adopt a Wreath/Tree program?

Social Media Newspaper Website Previously Adopted Other

If you prefer to pay by check, Print form & MAIL COMPLETED FORM & PAYMENT TO:

Mainspring of Ephrata 16 East Main St. Ephrata PA 17522

Makes checks payable to: Mainspring of Ephrata