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					                                                                                             KENTUCKY DIVISION OF FORESTRY                                                                           Office Use Only:
   Form N-2                                                                                                                                                                                          County/Seller                                       .
   Revised 10/01/09                                                                                           Tree Seedling Order Form                                                               Order #                                             .
                                                                                                 Seedling prices are good only through April, 2010.                                                  Delivery Method                                     .
                                                                                                                                                                                                     Sale/Purpose                                        .
                                                                                      *****INSTRUCTIONS & REMINDERS ARE LISTED ON THE BACK*****                                                      CR #                                                .
  PLEASE PRINT           Date:                                     .                                                                              If ordering more than 10,000 seedlings,
                                                                                                                                                                                                         To request a tree planting machine, if
  CUSTOMER INFO:.                                                           Call your local district office for species availability.           contact your district office for information on
                                                                                                                                                                                                         available, check here:
                                                                              (see back of order form for telephone numbers)                    discount pricing.
  Name:                                                           .                                                                                                                                          ONLY for orders of 1,000+ seedlings.

  Addr. Line 1:                                                       SHIP TO: (if different)                                                                                                        Delivery Method Preferred:
  Addr. Line 2:                                                   .Name:                                                                .                                                                           Pick up at nursery
  City, State, Zip:                                                   Addr. Line 1:                                                                                                                                 Ship via UPS
  Home Phone:                                                     .Addr. Line 2:                                                                                                                     Month Preferred:
  Daytime Phone:                                                      City, State, Zip:                                                                                                                             January                March
  E-mail address:                                                     County of Planting:                                                                                                                           February               April
                                                                                                                                                   For more information, check out our website
  Signature:                                                      .                                                                                  at:                    Adverse weather can delay
                                                                                                                                                                                                                   pick-up or shipping.
                                     Size of Bundles                                      Size of Bundles                                   Species Ordered                              # of             Size of           Unit             Total
CONIFERS                              10      100      NUT PRODUCERS                        10     100                                                                                  Bundles           Bundle            Cost             Cost
 Baldcypress                          $24     $35       Butternut                          $40     n/a
 Pine, loblolly                       $24     $35       Chestnut, Chinese                  $24     $35
 Pine, shortleaf                      $24     $35       Hazelnut                           $40     n/a
 Pine, Virginia                       $24     $35       Hickory, mixed                     $24     $35
 Pine, white (2YR)                    $24     $35       Hickory, shellbark                 $24     $35
 Pine, white (3YR)                    $34     $45       Hickory, water (2YR)               $34     $45
                                     Size of Bundles    Oak, bur                           $24     $35
FRUIT PRODUCERS                        10     100       Oak, cherrybark                    $24     $35
 Cherry, black                        $24     $35       Oak, cherrybark (2YR)              $34     $45
 Dogwood, grey                        $24     $35       Oak, chestnut (2YR)                $34     $45
 Dogwood, flowering (2 YR)            $34     $45       Oak, northern red                  $24     $35
 Dogwood, silky                       $24     $35       Oak, northern red (2YR)            $34     $45
 Mulberry                             $24     $35       Oak, Nuttall                       $24     $35
 Pawpaw (from KY State University)    $24     $35       Oak, overcup                       $24     $35          In-State Shipping Costs:              Out-of-State Shipping Costs:                               Subtotal
 Persimmon                            $24     $35       Oak, pin                           $24     $35            Per 10-Bundle - Included, Add $0       Per 10-Bundle - Add $5 per bundle
                                                                                                                  Per 100-Bundle - Add $15 per bundle    Per 100-Bundle - Add $25 per bundle              Shipping Costs (see left)
 Plum, wild                           $24     $35       Oak, pin (2YR)                     $34     $45
                                                        Oak, post                          $24     $35         IF TAX-EXEMPT IN KY OR IF AN OUT-OF-STATE ORDER, PLEASE CONTACT YOUR
                                     Size of Bundles
                                                                                                               LOCAL DISTRICT OFFICE (SEE LISTING ON BACK) TO AVOID OVERPAYMENT.                                              TOTAL
LEGUME FAMILY                         10      100       Oak, sawtooth                      $24     $35
 Coffeetree, Kentucky                 $24     $35       Oak, sawtooth (2 YR)               $34     $45
                                                                                                                                                               CREDIT CARD PURCHASING
 Locust, black                        $24     $35       Oak, red Shumard                   $24     $35
 Redbud, eastern                      $24     $35       Oak, red Shumard (2 YR)            $34     $45         check             Visa                         American Express
                                     Size of Bundles    Oak, swamp chestnut                $24     $35         one               MasterCard                   Discover                 Billing Address: (if different from above)
SEED PRODUCERS                        10      100       Oak, swamp white                   $24     $35
 Ash, green                           $24     $35       Oak, water                         $24     $35      Cardholder’s Name:                                                       Addr. Line 1:                                                   .
 Ash, white                           $24     $35       Oak, white                         $24     $35      Credit Card Number:                                                      Addr. Line 2:                                                   .
 Birch, river                         $24     $35       Oak, white (2 YR)                  $34     $45
                                                                                                            Expiration Date:                                                         City, State, Zip:                                               .
 Sycamore                             $24     $35       Oak, willow         SOLD OUT       $24     $35
 Yellow-poplar                        $24     $35       Pecan                              $24     $35      Cardholder’s Signature:                                                  Home Phone:                                                     .
                                                        Walnut, black                      $24     $35
ORDERING INSTRUCTIONS:                                                                                                                                                                    DISTRICT OFFICES
 If ordering more than 10,000 seedlings, contact your local district office (table on right) for information on                                            DISTRICT      ADDRESS/PHONE NO.                       COUNTIES SERVED
 discount pricing.                                                                                                                                                  Kentucky Division of Forestry    Bath, Boyd, Carter, Clark, Elliott, Fleming,
                                                                                                                                                                    255 Rodburn Hollow Road          Greenup, Lewis, Mason, Menifee,
                                                                                                                                                                    Morehead, KY 40351               Montgomery, Morgan, Nicholas, Robertson,
   When ordering seedlings, payment must be made at time of order.                                                                                         DISTRICT
                                                                                                                                                                    Phone: 606-783-8625              Rowan
                                                                                                                                                                       or 800-866-0052
   If paying by check or money order, they must be made payable to KENTUCKY STATE TREASURER. Checks
                                                                                                                                                                            Kentucky Division of Forestry         Bell, Clay, Harlan, Jackson, Knox, Laurel,
   or money orders made out to other payees cannot be accepted.
                                                                                                                                                                            P.O. Box 130                          Leslie, McCreary, Rockcastle, Whitley
                                                                                                                                                           DISTRICT         Pineville, KY 40977
   If paying by credit card, make sure the Credit Card Purchasing section on the front of this order form is
                                                                                                                                                                            Phone: 606-337-3011
   completely filled out.
                                                                                                                                                                               or 800-866-0504
                                                                                                                                                                            Kentucky Division of Forestry         Allen, Barren, Breckinridge, Bullitt,
   Select Preferred Delivery Method and the Month Preferred.
                                                                                                                                                                            129 Howell Drive                      Edmonson, Grayson, Hancock, Hardin,
                                                                                                                                                           DISTRICT         Elizabethtown, KY 42701               Hart, Jefferson, Larue, Meade, Nelson,
   If ordering 1,000+ seedlings, you may borrow a tree planting machine from your local district office, if
                                                                                                                                                                            Phone: 270-766-5010                   Simpson, Spencer, Warren
   available. Make sure to check the box on front indicating you would like to do so.
                                                                                                                                                                                or 800-550-6601
                                                                                                                                                                            Kentucky Division of Forestry         Ballard, Caldwell, Calloway, Carlisle,
   Make sure to sign the order form.
                                                                                                                                                                            P.O. Box 349                          Crittenden, Fulton, Graves, Hickman,
                                                                                                                                                           DISTRICT         Mayfield, KY 42066                    Livingston, Lyon, Marshall, McCracken,
   Seedling prices include Kentucky sales tax.
                                                                                                                                                                            Phone: 270-247-3913                   Trigg
                                                                                                                                                                                or 800-866-0802
   For In-State Shipping, 10-Bundles require no additional shipping charges. Add $15.00 to each 100-Bundle                                                                  Kentucky Division of Forestry         Adair, Boyle, Casey, Clinton, Cumberland,
   ordered.                                                                                                                                                                 120 Gaines Drive                      Green, Lincoln, Marion, Mercer, Metcalfe,
                                                                                                                                                           CENTRAL          Campbellsville, KY 42718              Monroe, Pulaski, Russell, Taylor,
   For Out-of-State Shipping, add $5.00 to each 10-Bundle ordered and $25.00 to each 100-bundle ordered.                                                   DISTRICT         Phone: 270-465-5071                   Washington, Wayne
                                                                                                                                                                               or 800-866-1007
   To save money, customers can make arrangements to pick up their orders at the nursery that services their                                                                Kentucky Division of Forestry         Floyd, Johnson, Lawrence. Magoffin,
   county, which will be in far eastern or western KY. Contact your local district office for more info (table on                                                           P.O. Box 189                          Martin, Pike
   right).                                                                                                                                                 EASTERN
                                                                                                                                                           DISTRICT         Betsy Lane, KY 41605
                                                                                                                                                                            Phone: 606-478-4495
SEEDLING AVAILABILITY:                                                                                                                                                         or 800-866-0048
Shortages in planting stock can occur after order processing begins, so please submit your order as soon as                                                          Kentucky Division of Forestry                Anderson, Boone, Bourbon, Bracken,
possible. Orders are filled on a first-come, first-served basis until supplies are depleted. If you plan to pick up                                                  P.O. Box 516                                 Campbell, Carroll, Fayette, Franklin,
your seedlings directly from the nursery, you will be notified when your order is ready.                                                                   DISTRICT  Frankfort, KY 40602                          Gallatin, Garrard, Grant, Harrison, Henry,
                                                                                                                                                                     Phone: 502-573-1085                          Jessamine, Kenton, Madison, Oldham, Owen,
Out-of-State sale customers must check with their own state first for seedling availability. Out-of-state orders will                                                   or 800-866-0876                           Pendleton, Scott, Shelby, Trimble, Woodford
not be accepted until Nov. 1 and all orders are subject to refusal.                                                                                                  Kentucky Division of Forestry                Butler, Christian, Daviess, Henderson,
                                                                                                                                                                     P.O. Box 465                                 Hopkins, Logan, McLean, Muhlenberg,
                                                                                                                                                         GREEN RIVER
                                                                                                                                                           DISTRICT  Madisonville, KY 42431                       Ohio, Todd, Union, Webster
                                                                                                                                                                     Phone: 270-824-7527
Landowners may receive free planning assistance for tree planting projects from the Division of Forestry by
                                                                                                                                                                        or 800-866-0770
contacting the district office serving their county (table on right).
                                                                                                                                                                     Kentucky Division of Forestry                Breathitt, Estill, Knott, Lee, Letcher, Owsley,

All seedlings are inspected prior to shipment. No adjustments or replacements will be made for losses or damage                                           KENTUCKY P.O. Box 702                                   Perry, Powell, Wolfe
                                                                                                                                                            RIVER    Hazard, KY 41702
unless reported when seedlings are delivered. Please contact your district office if problems occur with the                                               DISTRICT  Phone: 606-435-6073
delivery of your order.
                                                                                                                                                                        or 800-866-0503

The Energy and Environment Cabinet does not discriminate on the basis of race, color, national origin, sex, age, religion, or disability and provides, on request, reasonable accommodations including auxiliary aids and services necessary to afford an individ-
ual with a disability an equal opportunity to participate in all services, programs, and activities. For more information, contact the Division of Forestry at 502-564-4496 between 8 a.m. and 4:30 p.m. EST. Hearing- and speech-impaired persons can contact
the agency by using the Kentucky Relay Service, a toll-free telecommunications device for the deaf (TDD). For voice to TDD, call 800-648-6057. For TDD to voice, call 800-648-6056.