Hanging Basket Payment Form

Note: This is a Calgary Only Fundraiser

Please specify how many baskets you would like to order for each type.

Baskets are $35 each, or you can get 2 baskets for $60 with our promotion. You can mix and match basket types to still get the promotion price.

Number of Mixed Planting Baskets $35 Each

Number of Strawberry Baskets $35 Each

Number of Geranium Baskets $35 Each

Number of Calibrachoa Baskets $35 Each

Number of Tomato Baskets $35 Each

Number of Petunia Baskets $35 Each

Number of 10" Mother's Day Planters $35 Each

Fertilizer $10 Each

Basket & Fertilizer Quantity

Name of the person picking up the basket (if different than purchaser)

Total (before tax):

$

Your Information

Reminder: This is a Calgary Only Fundraiser

Legal First Name

Legal Last Name

Email

Phone

Phone Type

Country

Street Address

Address Line 2

City

Province

State

Postal Code / Zip Code

Payment Information

Subtotal:

$

GST:

$

Total (including tax):

$

Name on Card

Credit Card Number

MM

YY

CVV