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PLACE ORDER & PAYMENT
 * = Required Field
* First Name: 
* Last Name: 
Department/Company/
Organization Name:
 
if applicable 
* Address: 
Apt./Unit: 
if applicable 
* City: 
State/Province: 
* ZIP/Postal Code: 
(99999) 
Enter "00000" if Canada  
Country: 
* Email: 
* Phone: 
(999-999-9999)
 
Example: 123-456-7890
Extension:
(9999)
if applicable
* Number of Trees:
(99)  
Cost: $150.00 per Tree, eg. 3 Trees would be $450.00
* Total Amount: 
(99999.99)  
$ Examples: 150.00, 300.00, 450.00, etc. - Multiple of 150 
* Payment Method: Check/Money Order
Credit/Debit Card