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2. First Name*
3. Last Name*
5. Address Contact
7. City
8. State Name
9. ZIP
11. Email*
12. Phone*
13. Extension
15. Preferred Location - 1st Choice*
    -- Select One --Alton Baker GardenAmazon Garden - no plots availableMathews GardenRiver House GardenSkinner City FarmWhiteaker Garden

    Please select your first choice for plot location.

16. Preferred Location - 2nd Choice*
    -- Select One --Alton Baker GardenAmazon GardenMathews GardenRiver House GardenSkinner City FarmWhiteaker Garden

    Please select your second choice for plot location.
18. If none of your preferences are available, would you like a plot in any available location?*

    1. Yes
    2. No
20. Preferred Plot Size*
    -- Select One --Raised Bed - 12'x4', $25 (available at Alton Baker only)Half Plot - 300 square feet, $60Full Plot - 600 square feet, $100
22. Additional Comments
24. Thank you!
    Please submit only one Community Garden Plot Request Form. If you have questions or would like to update a previously submitted form, please contact our Community Gardens Coordinator at dklinkebiel@eugene-or.gov or 541-510-9318.
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field