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* 1. Name (First and Last)

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* 2. Address

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* 3. Phone Number

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* 4. Email Address

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* 5. Preferred Tree

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River Birch

River Birch

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Hackberry 

Hackberry 

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Eastern Redbud

Eastern Redbud

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Exclamation London Plane Tree

Exclamation London Plane Tree

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Ironwood

Ironwood

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