Pollinator Pathway Application
Wild Ones:  Illinois Prairie Chapter
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Please provide us with your name and the address of your native planting.  By providing an address below you are giving permission for the location of your native planting to be shown on an online Pollinator Pathway map.
Name: *
County (at this time our Pollinator Pathway map will be limited to the counties listed below) *
Town/City *
Street Address *
How many native plants/shrubs/trees do you have in your native planting? *
Approximately how large is your native planting? *
Do you have native plants/shrubs/trees that bloom early in the season (Spring)? *
If you have native plants/trees/shrubs that bloom early in the season, please list up to 5 of your favorites.
Do you have native plants/trees/shrubs that bloom mid-season (Summer)? *
If you have native plants/trees/shrubs that bloom mid-season, please list up to 5 of your favorites.
Do you have native plants/trees/shrubs that bloom late season (Fall)? *
If you have native plants/trees/shrubs that bloom late in the season, please list up to 5 of your favorites.
Do you have future plans to expand your native planting? *
Please provide your email address below if we may contact you annually to update your planting information and to occasionally (less than once per month) send updates about this project and/or helpful information to support your efforts.
Email address
Would you like a Pollinator Pathway sign for your yard?  These signs are free for chapter members and $8 for non-members.  
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After you have completed this application, please click the submit button below.
Thank you!
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