MONTGOMERY COUNTY CONSERVATION CORPS

MONTGOMERY COUNTY CONSERVATION CORPS
WOOD PRODUCT REQUEST FORM

Today’s date: ___________ Estimated completion date: _________________

Staff-member taking order: _________________________________________

Customer Name: __________________________________________________

Address: _________________________________________________________

City: _______________________________ State: ________ Zip: ___________

Telephone: __________________________

WOOD PRODUCT	SIZE (LXWXH)	PRICE ($)	QUANTITY	SUBTOTAL ($)
Picnic Table	6' long	$190
	8' long	$240
	child's	$150
Patio Bench	4' long	$ 60
	6' long	$ 70
	8 ' long	$ 80
Bird House	Small birds	$ 20
Bird Feeder	9" x 7.5" x 13.5"	$ 25
Cutting Board	small	$ 21
Cutting Board	large	$ 26
Streetscape planter	4' x 2' x 3'	$120
Streetscape planter	6' x 2' x 3'	$140
Butterfly box	5" x 6" x 24"	$ 35
Bat Box	7" x 4" x 24"	$ 35
Paper Towel Holder	12 1/2" high	$ 7
Wall Plaque Key Holder	12" x 7 3/4"	$ 8
NEW WOOD PRODUCTS
Recycled Bottle Bird Feeder	18 1/2" x 8 1/2"	$ 28
Observation Bird Feeder	10 1/2" x 5 1/2"	$ 20
Single Decorative Bird House	12" x 7"	$ 28
Dual Decorative Bird House	18" x 9"	$ 35
Book Ends	6 1/2" x 6"	$ 26
Book Ends with County Seal	6 1/2" x 6"	$ 45
Owl Box	9" x 16" x 22"	$ 37
SUBTOTAL
$20 Delivery Charge: (For Large Items Only).				+
TOTAL

Payment: (please check one) CASH: _____ CHECK: _____ (Check #) ________________

Make check payable to: Friends of the MCCC, Inc.

COMMENTS or OTHER PRODUCT DESIRED (not listed above). Please describe:

______________________________________________________________________________

WOODPROD 08/13/99