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Consignment Form
Paul J Ciener Botanical Garden
Consignment Form
Name: _______________________________________ Date: _________________
Phone: ____________________ Email:_____________________________________
*Consigner Number: ____________________________________________________
*Your “Consigner Number” is your first and last initial with the last four digits of your phone number.
Item Color/Description Number Unit Price
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Please submit one small item to be added to our monthly gift basket drawing. THANK YOU!
Item for Gift Basket Color/Description Value
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