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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:http://www.forestry.ky.gov/seedling/ 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, NORTHEAST 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 SOUTHEAST 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, CENTRAL 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, WESTERN 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, SOUTH 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, BLUEGRASS 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 TECHNICAL ASSISTANCE: 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.