Product Requests and Suggestions
Please fill out this form should you like to order product into the store, or if you have some great and local suggestions! The more information, the better!

Please keep in mind that some items may not be available to order, however, we will do what we can to suggest alternatives!

As always you can contact our Grocery Purchaser at
Date *
First Name *
Last Name *
Are you a member of The Mustard Seed? *
You don't need to be a member to give feedback or make product requests.
Member Number
If you are a member, please let us know your number
Contact Info - Email/Phone *
If you would like to receive a response, how can we get in touch with you about your feedback/request?
Product Request - department
Clear selection
Product Request
Please be specific about the product and why you would like to have it at the Co-op. Any information including origin and contact info would be appreciated!
Customer Service
Our members own our Co-op, so we want to serve you well. Please let us know if there is anything we can do to improve your experience at the store.
General Comment
Anything else you want to share? We are here to listen!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.