187 Main Street , Rte 2A Colchester, VT 05446
Local: (802) 878-2361 Toll free: (800) 287-2361
Fax: (802) 878-9462
Email: info@claussens.com
www.claussens.com

Plant Rental Order Form

Please complete this form then fax or call in your order. A Claussen’s representative will call you to confirm and price this order and to answer any questions.

Customer/Business Name: _________________________ Contact person: _____________________

Daytime Phone: _________________________ Alternate Number: ____________________________

Email Address: ________________________________________ Fax: __________________________

Claussen’s Delivery Date + Time: __________________ P/U Date + Time: ______________________

Customer’s P/U Date + Time: _____________________ Return Date + Time: ____________________

Full Delivery Address: _____________________________________________________________________

Special Instructions: ______________________________________________________________________

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