East Granby Land Trust Rain Barrel Request

               Your name: 
          E-mail address: 
          Street address: 
          City/State/Zip: 
                   Phone: 
       Number of barrels:
       @$55 each :  @$50 each for EGLT members : 

        Please enter your comments or questions:

Last Updated: May 8, 2012

To pay by check, print this form and mail (along with the check) to:
EAST GRANBY LAND TRUST
ATTN: Rain Barrels
P.O. Box 39
East Granby, CT 06026