OTMF Florida Citrus Fruit Order Form
First Name *
Your answer
Last Name *
Your answer
Number / Street *
Your answer
City / State *
Your answer
Zip Code *
Your answer
Primary Phone *
If need to call you regarding pickup!
Your answer
Secondary Phone
If your first number is unanswered.
Your answer
Email Address *
Please type carefully and check!
Your answer
What fruit you would like to order? *
Required
How many of each item indicated above do you want?
Example: A. 2; N. 1 (If you are only purchasing one item, no entry is necessary here.)
Your answer
Total Purchase *
The total dollar amount of your purchase. This number should be the same as that paid via PayPal.
Your answer
Please tell us who referred you to our website. *
If you found it on your own, please answer "none."
Your answer
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