Custom Pot Form Customer Name * First Name Last Name Date of Order/Drop Off * MM DD YYYY Phone Number * Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Is Customer wanting delivery? Contact will be made in May for setting up Delivery Date and Times Additional Charge will be added for Delivery starting at $60 Yes No Number of Total Pots * 1st Pot- Hours of Sunlight * 2-4hrs of Sun 4-6 hrs of sun 6-8 hrs of sun 8+ hrs Morning or Evening Exposure * Morning Evening Both Morning and Evening Size of Pot * Measure Diameter of Pot- Edge to Edge 12"-15" 16"-20" 20"-24" 25-36" Window Box Color and Description of Pot * What colors do you love? Anything else we should know about this pot? * Price of Custom Pot * 2nd Pot- Hours of Sunlight 2-4hrs of Sun 4-6 hrs of sun 6-8 hrs of sun 8+ hrs Morning or Evening Exposure Morning Evening Both Morning and Evening Size of Pot Measure Diameter of Pot- Edge to Edge 12"-15" 16"-20" 20"-24" 25-36" Window Box Color and Description of Pot What colors do you love? Anything else we should know about this pot? Price of Custom Pot 3rd Pot- Hours of Sunlight 2-4hrs of Sun 4-6 hrs of sun 6-8 hrs of sun 8+ hrs Morning or Evening Exposure Morning Evening Both Morning and Evening Size of Pot Measure Diameter of Pot- Edge to Edge 12"-15" 16"-20" 20"-24" 25-36" Window Box Color and Description of Pot What colors do you love? Anything else we should know about this pot? Price of Custom Pot 4th Pot- Hours of Sunlight 2-4hrs of Sun 4-6 hrs of sun 6-8 hrs of sun 8+ hrs Morning or Evening Exposure Morning Evening Both Morning and Evening Size of Pot Measure Diameter of Pot- Edge to Edge 12"-15" 16"-20" 20"-24" 25-36" Window Box Color and Description of Pot What colors do you love? Anything else we should know about this pot? Price of Custom Pot 5th Pot- Hours of Sunlight 2-4hrs of Sun 4-6 hrs of sun 6-8 hrs of sun 8+ hrs Morning or Evening Exposure Morning Evening Both Morning and Evening Size of Pot Measure Diameter of Pot- Edge to Edge 12"-15" 16"-20" 20"-24" 25-36" Window Box Color and Description of Pot What colors do you love? Anything else we should know about this pot? Price of Custom Pot 6th Pot- Hours of Sunlight 2-4hrs of Sun 4-6 hrs of sun 6-8 hrs of sun 8+ hrs Morning or Evening Exposure Morning Evening Both Morning and Evening Size of Pot Measure Diameter of Pot- Edge to Edge 12"-15" 16"-20" 20"-24" 25-36" Window Box Color and Description of Pot What colors do you love? Anything else we should know about this pot? Price of Custom Pot 7th Pot- Hours of Sunlight 2-4hrs of Sun 4-6 hrs of sun 6-8 hrs of sun 8+ hrs Morning or Evening Exposure Morning Evening Both Morning and Evening Size of Pot Measure Diameter of Pot- Edge to Edge 12"-15" 16"-20" 20"-24" 25-36" Window Box Color and Description of Pot What colors do you love? Anything else we should know about this pot? Price of Custom Pot 8th Pot- Hours of Sunlight 2-4hrs of Sun 4-6 hrs of sun 6-8 hrs of sun 8+ hrs Morning or Evening Exposure Morning Evening Both Morning and Evening Size of Pot Measure Diameter of Pot- Edge to Edge 12"-15" 16"-20" 20"-24" 25-36" Window Box Color and Description of Pot What colors do you love? Anything else we should know about this pot? Price of Custom Pot 9th Pot- Hours of Sunlight 2-4hrs of Sun 4-6 hrs of sun 6-8 hrs of sun 8+ hrs Morning or Evening Exposure Morning Evening Both Morning and Evening Size of Pot Measure Diameter of Pot- Edge to Edge 12"-15" 16"-20" 20"-24" 25-36" Window Box Color and Description of Pot What colors do you love? Anything else we should know about this pot? Price of Custom Pot 10th Pot- Hours of Sunlight 2-4hrs of Sun 4-6 hrs of sun 6-8 hrs of sun 8+ hrs Morning or Evening Exposure Morning Evening Both Morning and Evening Size of Pot Measure Diameter of Pot- Edge to Edge 12"-15" 16"-20" 20"-24" 25-36" Window Box Color and Description of Pot What colors do you love? Anything else we should know about this pot? Price of Custom Pot For Customer to Acknowledge- Policy Acknowledgement * We will make every effort to exceed your expectations for your planters. If you have requested specific plant varieties, we cannot guarantee that each variety will be mature enough to plant and we may need to make substitutions. Also, plant variety availability may vary from year to year and we may not be able to replicate a previous recipe exactly. We will guarantee that our experienced designers will create a beautiful arrangement for you. We ask that you please plan to pick up your planters between mother's day and memorial day. By signing you also understand by bringing in pots with dirt there will be a removal fee. You also understand that coco fiber is an additional cost, you must pay for replacement or provide us with a new one if needed. Thank you for trusting your planters to us! Please verify the information above and sign that it is correct. Thank you. Schmidts Farm and Greenhouse is not responsible if information above is incorrect. Payment Acknowledgement * You may choose to pay for planters in full or a minimum of 1/2 deposit when you drop off planters. The other half of the deposit can be paid at pick up (Mother's day-Memorial Day). Failure to pick up pots past Memorial Day will result in a maintenance fee. Please sign verifying you understand our payment policy and pick up time. For Schmidt Employee ONLY * Pay in Full or Partial? * Order Taken By * Schmidt Employee First Name Last Name Thank you!
