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Cooperative Extension
HORTICULTURE INFORMATION REQUEST FORM
First Name: Last Name:
Address:
Town State ZIP
County of Residence: Androscoggin Sagadahoc Aroostook Cumberland Franklin Hancock Kennebec Knox Lincoln Oxford Penobscot Piscataquis Somerset Waldo Washington York
Daytime Phone: Cell Phone:
Email Address:
Check box to receive: Beekeeping registration a Master Gardener Volunteer training application (Cumberland County residents only) information on any upcoming Horticulture classes/activities
For information on a specific horticulture request, please indicate your request in the box below:
Thank you.