Order Form
Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
When would you like your box? *
Please order your box by 10 am Saturday for collection the following Monday. Boxes can be ordered up to six weeks in advance (Please pay in advance or set up an automatic transfer in this instance). FOR GARLIC ORDERS - please check the box below that suits your preferred purchase (1, 2 or 3 x 1kg braids), Organic and locally grown garlic has just been harvested and braids will hang with beautiful garlic for around 6 months before sprouting to plant. $30 for PIFF members, $40 for non-members. Garlic will be supplied in time for the final box for the year on the 18th of December. Please pre-pay into our bank account indicating 'garlic' in the comments field. Bendigo Bank - BSB 633000 Account no: 159128990
If you are a member of Phillip Island Food Fanatics please enter your membership number
Discounts will not be applied without current membership
Your answer
Are you a member of the cooperative? *
Membership for 17/18 financial year is due. Discounts apply for members. Please complete form on this website even if renewing. If currently not a member - join now and access member prices before the financial year begins. Its only $30 for the year. Bendigo Bank - BSB 633000 Account no: 159128990
Receipt Number *
Please pay for your box via direct deposit and copy & paste your receipt number here. Orders will not be processed without a valid receipt number. PLEASE NOTE WE HAVE NEW BANK DETAILS. Bendigo Bank - BSB 633000 Account no: 159128990
Your answer
Where would you like to pick up your box? *
Additional Comments
If you would like to place an order for additional F&V (members only) please make a note here and we will contact you shortly with details. Or if you have ordered boxes for multiple weeks please list which weeks you are planning to help sort the boxes.
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms