MICS Tree Donation Order Form
Full Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tree Location
Enter a Tree Number from the Campus Tree Map
Engraved Commemorative Plaque
You will be emailed a Proof of the plaque layout to review/approve it's engraved.
Line 1
*
Please select type of tree
This Red Maple Tree
This Pin Oak Tree
This Yoshino Cherry Tree
This Carolina Silverbell Tree
This Crape Myrtle Tree
This Bald Cypress Tree
Type of Tree
Line 2
*
Text has been pre-selected
Line 3
*
In Honor of
In Memory of
In Celebration of
Other
Line 4
*
Name of person being honored/remembered
Line 5
*
"Given by" is recommended, but you can edit this field
Line 6
*
Donor's Name to Display on Plaque
Additional Information (optional)
Payment Information
Please let us know the payment method you plan to use. Details are above on Left Side of Screen.
Payment Method you plan to use ($1,000):
*
Please Select
Check
Paypal/Credit Card
Stock Donation
Check #
*
Please make Check Payable to MICS with "Tree Donation" in the Memo Line.
Please review your order and then press Red Submit Button
You will receive an email copy of your Tree Order Information. Thank you!
Submit
Should be Empty: