Tree Seedling Order Form
Lake Simcoe Region Conservation Authority
120 Bayview Parkway, PO Box 282
Newmarket, ON L3Y 4X1
T: (905) 895-1281
F: (905) 853-588
Please complete on or before March 19, 2010 and print a copy for your records.
* required fields

* name:

* address:

city/town:

postal code:

telephone:

* email:

planting location (if different from residence):

lot:

concession:
Method of Payment (please check method of payment):
Visa ChequeCash
Species Quantity Price/Seedling Total $
Conifers White Pine
 x
Red Pine
 x
White Spruce
 x
Norway Spruce
 x
White Cedar
 x
Tamarack
 x
European Larch
 x
Hardwoods Green Ash x
Silver Maple
 x
Red Oak
 x
Shrubs Nannyberry
 x
Total Seedlings
GST/PST (13%)
Handling
$10.00
Total Cost
$

Please print a copy of this page for your records before submitting it by e-mail.