Sunday Delivery Order Form
For more information call (541) 505-7961. Deliveries are only available to the Eugene area, and can not be made to hotels, businesses, or publicly owned land.
Are you a new or existing customer?
Contact info
Your name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Phone number *
Your answer
Address *
Your answer
TJ's Loyalty Points Number
Your answer
Delivery Options
If you would like to order more than one bundle, coffee item, or the same pastry please specify in "other" space
TJ's Bundle Options *
If you would like multiple of the same bundle please state how many total you would like in the "other" space below
Required
Top Shelf Flower Options
Willie' Reserve 5-pack of 1/2 Gram Prerolls
TJ's Tincture Options
Equiano Coffee Options
If you would like multiple of the same product please state how many total you would like in the "other" space below
Noisette Pastry Kitchen Options
If you would like multiple of the same product please state how many total you would like in the "other" space below
Questions and comments
Your answer
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