Egg Order Form
Please fill out the form.
First and Last Name *
Phone Number
Ex: (559) 111-1111 *Information not needed if purchased before
*Information not needed if purchased before
Who Referred You
How many dozen eggs would you like to purchase? *
1 Dozen = $5,
Payment method upon receiving eggs *
Cash or Check only (Checks made payable to Reedley Middle College High School Ag Department)
Method of Recieving Eggs
Delivery is available for staff and administration of Kings Canyon Unified and Reedley College. All other Customers must pick up.
Deliver to?
If you have selected "Deliver to KCUSD or RC" please specify room/office number. *Skip if this does not apply.
Special Request: *
Please let us know the time and date you would like to recieve your order of Fresh Eggs
Optional Subscription
I would like to receive eggs every __________. (please indicate number of dozen and timeline.)
Thank You for Your Support!!!
Thank You for your support!!!
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