Print and fill out the order form below then: Call Lofty Oaks Association at 1-800-533-7554, or fax the completed order form at 1-800-759-6263, or Mail the form with payment to:
Lofty Oaks, P.O. Box 44, Littleton, NH 03561

In Memory of:

Name:

State tree is to be planted in:

Please send notification to:
Name:
Address:
City:
State:	Zip:

Sympathy Card Message (25 word maximum):

The Planting is from:
Please send receipt to:
Name:
Address:
City:
State:	Zip:
Day Phone:
E-mail:

�	$55.95 Framed plus $6 Shipping
�	$32.95 Unframed plus $3 Shipping
�	Check Enclosed for $____________Check Number________
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	For Office Use Only: 06905