1 Branch 6 ½” pots $12.00 _______ (Make checks out to Kiwanis Club of Elgin) 2 Branch 7 ½” pots $25.00 ________ (Make checks out to Kiwanis Club of Elgin) Plants, provided by Clesen Brothers, Inc., will be delivered at noon to The Grumpy Goat Tavern for pick up on following club meeting dates or they may be delivered on the same delivery dates. Delivery Dates (circle one):
November 14th 21st 28th December 5th 12th
19th
Name Address:________________________________________________ For questions please contact: Rick Poulton 847-977-4541 The Kiwanis Club of Elgin: P.O. Box 5262, Elgin, IL 60121
Save this portion as your receipt Quantity Ordered:_______ Amount Paid:__________