Customer Information
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Location:

Rep:

Name:

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Address:

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Website:

Preffered Contact Method:

Purpose of Contact:

If purpose is Other, please specify a purpose:

Bamboo and Site Information

Preferred Size:

Soil Type:

Soil Moisture:

Light:

Height:

Base Area:

Minimum Temp:

Water Availability:

Important Traits

Focus/Specimen Plant	General Landscape Plant	Colored or Striped Cane
Edible Shoot Production	Useful Cane Production	Salt Spray Tolerance
High Screening	Low Screening	Wide Screening
Wind Break	Dense Hedge	Drought Resistant
Large Leaf	Fine Leaf	Unusual Shaped Cane
Low Litter	Low Maintenance	Rare and Unusual
Living Fence	Wind Resistant	Visibile Cane
Variegated

General Questions

Do you currently own or are you familiar with the planting and care of tropical bamboo?
Do you have a fertilizer regime with your landscape?
Do you practice any insect control?
Are you a member of the American Bamboo Society?
Are you interested in visiting the nursery?
Do you belong to any Garden Clubs or Plant Societies not mentioned above?
If yes what chapter(s)
Where did you find us?
If other please specify where you found us:

How can we better help you along the Bamboo path?