garden design request Form

Fill in your information and then click the print button at the bottom of the page.

Then mail it to us at:
Mountain Pine Nursery, 117 Warwick Turnpike,
Warwick, NY 10990.
or fax to us at: 845-987-4024

Then we can begin to plan a custom made garden ­ individually designed... just for YOU!

Although the design worksheet is a free service, which we provide for our customers, a $50 deposit is required. 100% of the deposit will be credited towards your purchase of plants. If you are mailing your worksheet, you may pay by a check with a preprinted address or by credit card. We accept Master Card, Visa, American Express, and Discover cards. Please specify the card and include the expiration date.


Credit Card Type:


 Master Card
Visa
American Express
Discover
Card #
Exp Date:
Name:
Address:
Home Phone#:
Business Phone#:
Fax#:
Best time to reach you:
 AM PM

The following questionnaire will help us design a garden for you which will reflect your individuality and personal taste. Please take a look at the questions carefully and answer as many as you can. Simply check or circle the appropriate response or responses. If you are unsure of an answer, either call during regular business hours for assistance or leave it blank. Giving no information is better than giving wrong information.

Basic Information: Please try to answer all the questions in this section. We need to know what conditions we will be working with in order to design a garden that will not only be beautiful, but will grow and thrive year after year. The most successful gardens are those where the plants are suited to their environment.

Light Conditions: full sun (6+ hours of sunlight)
  part sun (specify number of hours)
  shade (less than 3 hours of sunlight)

Soil Conditions: clay
  sandy
  moist
  dry
  soft and wormy
  rock hard
  other

Do you have a problem with any of the following: deer
woodchuck
rabbit
squirrel
other


Personal Preferences: These questions are optional. They are simply a tool to give us an idea of your individual taste. If you are not sure what you want, don't worry. We can help you.

Color Scheme:
List the colors you would like to have in your garden.

Special Interests: cutting flowers
  birds
  butterflies
  scent
  herbs
  other

Structures:
Would you like to include birdbaths, fountains, paths, etc.? yes no

If yes, what kind of structure?

Is there any other information you think we might find useful, such as plants you specifically want?

! Please include a sketch and any photos you might have of the area you wish to plant. While the sketch may be rough, the measurements must be accurate as we need to work to scale in order to provide you with an effective design. Show and label all structures, such as houses (with window placements), trees, shrubs, pools, paths, etc. If you are planning a new garden bed and are unsure of what shape will work best, try laying out a garden hose or extension cord to visualize different forms. (See Examples)

*Note: Be sure to include a compass with North, South, East and West points indicated
(See Examples).