District Assistance Request Form

Print this form and fax, or mail it to us.

Enter your Name:
Address:
City/State/Zip:
Phone Number (Including Area Code):
e-mail Address:

Property Location

Best Time to Contact

County: Date:

Township: Time:

Section: # of Acres:

Previous Land Owner (if less than 2 years):

Service(s) Requested

Free On Site Property Evaluation	Wetland Restoration Projects
Timber Sale Assistance	Shallow Water Wildlife Ponds
Tree/Wildlife Shrub Planting Recommendations	Property Resource Management Plan
Tree Insect/Disease Identification	Forest Stewardship Program
Gypsy Moth Suppression Program	American Tree Farm Program
Property Soils Information	Available Cost Share Programs
Wildlife Habitat Enhancement Recommendations	Quality Deer Management/Land Leasing Information
Wildlife Food Plot Recommendations	Recycling/Composting Information
I would like to received newsletter/tree order form
Other

Questions and Comments

Mail to: Midland Conservation District 275 W. Saginaw Rd. Sanford, MI 48657

Or Fax: (989) 687-9678