Grocery Order Form With Subscriptions
Welcome to our Grocery Order Form 

By completing this order form you can purchase weekly delivery of local produce, meats and vegetables. 

********* Delete Below Once You Setup the Payable Add-On ******************

Subscriptions: Using the payable app you could make your payments recurring subscriptions by using the " / Month"  (e.g. CA$30.00 / Month ) *learn how to do subscriptions with payable (or use examples below!)

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This is a template form to use with the Payable Add-On 

To collect payments with Google Forms you will need to install the PAYABLE FORMS Add-On by clicking on the puzzle piece icon at top right, after you copy this to your Google Drive.

Payable is not installed in this template, yet! Once you add it and and setup your payment method you will be able to accept payment with this form!

Watch a video to learn how to get paid with the Payable Add-on for Google Forms


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Full Name *
Contact Phone Number
Address for Delivery
Note that we do not deliver outside of 'X' Town
How many potatoes do you want? 
Captionless Image
Preferred Grains and Quantities 
Tubers / root veg / squash
Leafy greens
Tomatoes
Herbs
Zucchini, Eggplant, Peppers
1 Pound - $1.00
2 Pound - $2.00
3 Pound - $3.00
Clear selection
Box Subscription Selection
How many assorted produce boxes would you like delivered each week?
Clear selection
Next
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