Intake form

Name *

Email address *

What type of service are you seeking?

How many plants are you looking to donate or seek help with?

What type of plants do you have?

Please select at least one option.

Succulents

Ferns

Flowering plants

Herbs

Indoor trees

What condition are the plants in?

Please select at least one option.

Healthy

Needs minor care

Needs major care

Dying

Do you require assistance with transporting the plants?

What is your preferred method of contact?

If you selected phone, please provide your phone number.

Which service or services are you interested in?

Please select at least one option.

Plant Donation Assistance

Plant Care Service

Plant Staging Service

Fresh Flower Replacement Service

Fruit Tree Donation Program

Additional questions or comments

Plant Shelter