Order Form - Methuen Garden Club

Methuen Garden Club
Memorial Day Planting 2017
Order deadline May 15, 2017 *
*Please note: In order to finish all of the orders on time for Memorial Day we will not
be taking orders after the deadline date
For more information please call:
Ann at 978 688-1307 or Deb at 978 804-7166
Customer Name: ______________________________________________
Address: __________________________________________
__________________________________________
Tel. #: ____________________ e-mail address ____________________
Cemetery Name: ____________________________________________
Plot location: _______________________________________________
Cemetery Street Name ________________________________________
Family name on front of headstone: ____________________________________
Additional information on stone that will help us identify the correct lot.
Stone shape or color, special design, names on back of stone, dates of birth or death, etc:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Please circle desired package number and choice of geranium color.
Package # 1
Small
Cost $30.00
Recommended for headstones 2 ft to 3 ft wide
3 geraniums with a mix of dusty miller,
marigolds and ageratum
Specify color: Red
White
Pink
or
#1A. Geraniums only
Cost $25.00
Geraniums only -- quantity 3 plants
Specify color: Red
White
Pink
Package #2
Medium
Cost $42.00
Recommended for headstones 3ft to 4ft wide
5 geraniums with a mix of dusty miller,
marigolds and ageratum
Specify color: Red
White
Pink
or
#2A. Geraniums only
Cost $35.00
Geraniums only -- quantity 5 plants
Specify color: Red
White
Pink
Package #3
Large
Cost $55.00
Recommended for headstones 4 ft to 5 ft wide
7 geraniums with a mix of dusty miller,
marigolds and ageratum
Specify color: Red
White
Pink
or
#3A. Geraniums only
Cost $45.00
Geraniums only -- quantity 7 plants
Specify color: Red
White
Pink
Package # 4
Veteran Package
Red –White – Blue
Designed to fit the smaller veteran stone.
#4
1 Red Geranium
Cost $ 15.00
With dusty miller and blue ageratum.
#4A 2 Red Geraniums
Cost $ 20.00
With dusty miller and blue ageratum.
Please make checks payable to: The Methuen Garden Club
Mail order form with check to:
c/o Debra Morin 19 Sevoian Drive Methuen, MA 01844 --OR-- c/o Ann Gross 30 Davis Rd. Methuen, MA 01844