Order form for CCD Farms (orders for 4/18)

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All pickups will be at Big City Farmers Markets on the Saturday after the order is placed. Orders MUST be received by Friday at 5pm on the day before market.

First Name *

Last Name *

Phone number *

Email Address *

Below are the items we have for sale, the units we sell them in, and the cost per unit. Note, that in the next section, you'll need to tell us HOW MANY of each item you'd like. *

Chicken ($10/whole bird)

Strawberry Jam ($5/pint)

Early Season Veggie Box ($25/box includes 2 heads cabbage, 2 bunches beets, 2 bunches carrots, 2 lbs kale, & 4 Broccoli heads)

Polished Glass Earrings (various colors) NOTE: Please complete the form and we will follow up with you about which colors you prefer.

Required

Above, you indicated which items you were interested in. Please tell us here HOW MANY of each item you would like. Example: 2 pounds Broccoli, 1 chicken

Below is another way you might consider setting things up on a per-item basis. Upside is you can integrate amounts into one single question, downside is you'll need to create separate questions for each item.

Tomatoes ($3.50/pound) *

How would you prefer to pay? *

Cash at pickup

Debit or Credit Card Prepay (we will call you for card information at phone number above)

Can we add your email to our contact list for future market item lists?

Yes

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