PHS Meadowbrook Farm: Plant Request Form
Q.1
Please enter your name.
*
First Name
Last Name
Q.2
Email
*
(e.g. john@example.com)
Q.3
Your Phone Number
*
(e.g. 1 201-234-5678)
Q.4
Please identify the plant you desire.
*
Q.5
Preferred Size
Small
Medium
Large
Q.6
If plant variety is not available, OK to suggest a similar variety?
Yes
No
Q.7
Please share any additional information/notes.