City of Portland
Public Services
Forestry Section

Co-Op Tree Program Registration Form - 2011

Print this page and mail or fax BEFORE June 1, 2011 to:

Co-Op Tree Program
Portland Public Services
55 Portland Street
Portland, Maine 04101
FAX: 874-8816 / email: jst@portlandmaine.gov
For more information contact: Co-Op Tree Program 874-8801

Name: __________________________________________________________

Street Address: ___________________________________________________

Phone (HOME): _____-____________ Phone (WORK): _____-_______________

E-Mail Address: _______________@_____________________.______________

Planting Site:
( ) Same as above
( ) Street-tree between sidewalk and street
( ) Lawn area behind sidewalk
( ) Other: ________________________________________________________

1st Tree Type: _________________________ Size: _____________________

2nd Tree Type: ________________________ Size: ______________________

Co-Op Nurseries -  ( ) O’Donals Nurseries in Gorham, ( )Risbara’s Greenhouse, Portland and ( )Skillin’s Nurseries in Falmouth.

Nursery : _________________________________________________________

Date of Purchase: ________/________/ 2011

Sales Assistant (sometimes we need help finding your tree):___________________

Special Requests/Notes: ________________________________________________

___________________________________________________________________

(Please mark location prior to June 1st) Trees may be adjusted due to underground utilities. Return this form prior to June 1, 2010, once a tree has been purchased.

NOTE - Co-Op Trees are planted during the month of June ONLY. Registration ends JUNE 1.