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ReGreen Springfield Energy Saving Tree Request
Please fill out the following form to request a tree for your property.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
House Number
*
Your answer
Street Name
*
Your answer
Zip Code
*
Your answer
How would you like to be contacted?
*
By Phone
By E-mail
Required
Your Phone Number
Your answer
Your E-mail Address
Your answer
Where would you like a tree planted?
You can select multiple locations
On the treebelt
In my yard
What would be the best time to meet you to locate your new tree?
*
Click all that apply
8 AM to 10 AM
10 AM to 12 PM
12 PM to 2 PM
2 PM to 4 PM
4 PM to 6 PM
6 PM to 8 PM
Required
Would you like to be kept updated on the efforts of ReGreen Springfield via and occasional e-mail message?
Yes, keep me updated
No, I would not like to receive any electronic updates
Clear selection
Do you have any additional questions about the process?
Your answer
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