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