First Name: {{firstName}}
Last Name: {{lastName}}
Organization: {{organization}}
City: {{city}}
State: {{state}}
Phone: {{phone}}
Email: {{email}}
Program: {{program}}
Delivery Date: {{deliveryDate}}
Plants Needed: {{plantsNeeded}}
Pickup:
2001 State Hwy 3, Kendrick, ID, USA
12/03/2025