Cut Along this line.
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    If you would like to assist the California Big Tree Program, please
                    complete this form and return to Glenn C. Flamik.

Name:    __________________________________________________________________________

Address: __________________________________________________________________________

         __________________________________________________________________________

         __________________________________________________________________________

Phone:   (______________) ______________ - ________________________________________

I am interested in Big Trees for the following counties:

___________________________________________________________________________________

How many trees are you willing to certify (check measurements) for?  ______________

Are you willing to take photographs of the trees you certify?          Yes   /   No

Signature:  _______________________________________________________________________