Plant a tree on Motuihe Island
Help re-plant a forest with native trees
ORDER FORM – NZ $75 per tree
Please specify which option you wish to select:
YES – I WOULD LIKE TO PLANT MY NATIVE TREE MYSELF:
YES – PLEASE PLANT FOR THE NAMED PERSON BELOW:
Please select which species you wish to plant or have planted for you by marking the appropriate box with an “X”
NZ Native Kauri
NZ Native Pohutukawa
NZ Native Puriri
Purchaser:
Title:
First
Name:
Middle
Name:
Last
Name:
Address:
State:
Country:
Post Code:
Email
Address:
Telephone:
Details for Certificate of Sponsorship
Name to appear on Certificate of Sponsorship:
Address to
send the
Certificate
Title:
First
Name:
Middle
Name:
Last
Name:
Address:
State:
Country:
Zip/Post Code:
Email
Address:
Telephone:
Forward form and payment to:
Motuihe Trust, PO Box 42056, Orakei, Auckland, Email [email protected] or Fax 09-5220774.
Please make cheque payable to 'Motuihe Trust'.
Payment by:
 Cash
Amount:
 Cheque
 Credit Card (Bankcard, Mastercard or Visa)
Card Type:
 Direct credit to Motuihe Trust 12-3048-0370151-00
(Please complete order form as above and email to [email protected])
Signature: _________________________________________
Card Name:
Card Number:
$
Expiry Date
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