Registration- 2020 Old Fashioned Home Delivery
After confirmation of delivery area, complete this Registration form to sign up to get fresh vegetables delivered to your door! If you have questions please contact us. oldfashionedhomedelivery@yahoo.com
David 704-202-9678 Cheryl 704-202-9692
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Delivery Address (Street & City) *
Your answer
Delivery Zipcode *
Your answer
Mailing address (if different from delivery address)
Your answer
Phone Number (to contact you if there is an issue while on the delivery route) *
Your answer
Basket Options (payment plan options will appear on the payment page) *
Required
Details of delivery location (front porch, under shade tree, etc...) *
Your answer
Farm Pick up and Farmer's Market Pick up are also available. If interested in this option or if you are outside of the delivery area we are happy to work with you.
Skip Week (for 14 week customers only)
Comments/Questions
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Payment Options *
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