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•
Forms
Rain Barrel Order Form
Leave This Blank:
To pre-order your Rain Barrel(s), fill out the form below. One Barrel is on display in the
Village Lobby and your pre-ordered barrel(s) will be ready for pick up between
8:00 a.m. and 4:30 p.m. Monday through Friday. Cash and Check only.
Thank you and enjoy your Rain Barrels!
Contact Information
Full Name:
*
Email Address:
*
Company Name:
Address:
*
City:
*
State:
*
Zip Code:
*
Telephone Number:
*
How many barrels would you like to
pre-order for $45 each plus tax?
*
1
2
3
4
5
6
7
8
More
If you would like to pre-order more than 8 barrels,
how many would you like?
Which color rain barrel would you prefer?
*
Blue
White
When would you like to pick up your rain barrel(s)?
Please include an approximate day and time to
better accomodate your arrival.
*
Would you like to receive more environmental
information?
*
Yes
No
How did you hear about the Rain Barrels for sale?
*
Newsletter
Village Hall Lobby Display
Village Website
Library
Friend
Internet
Additional Comments/Questions
* indicates required fields.
Village of Menomonee Falls
•
W156 N8480 Pilgrim Road
•
Menomonee Falls, Wisconsin 53051-3140
•
Ph: (262) 532-4200
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