Publications Request Form Survey

1.What type of organization are you requesting publications for?(Required.)

A County or District Weed Board in Washington State

Another type of government agency in the United States.

A government agency from outside of the United States.

A non-profit organization, gardening club, 4-H club, master gardener's group, homeowner's association, or other community organization.

A local business.

I am requesting publications for myself or my household.

Other (please specify)

2.Contact Information

Name

Name of Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

County

Email Address

Phone Number (optional)