Garick Minnesota Order Form

Garick Minnesota

Order Form
Name *

Company Name Ordered by
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Date

Month Day Year
Requested Delivery Date
Truck Type Required *

Flatbed Van Van + Pallet Jack Customer Pickup
Do you have the following equipment at your location? Please check all that apply.

Fork Lift Pallet Jack Dock
Promo
Purchase Order Number
* Orders requiring delivery must be 18-20 pallets *

Soil, Manure, and Soil Conditioners

Pallet(s) Ordered

1.5 CF - Organic Valley Premium Potting Mix

1.5 CF - Organic Valley Premium Garden Soil

1.0 CF - Organic Valley Premium Compost

1.0 CF - Organic Valley Premium Topsoil

1.0 CF - Topsoil

40 LB - Potting Soil

40 LB - Compost with Manure

If overweight, remove the following products: *
Freight: PREPAID FULL TRUCKLOAD (18-20) PALLETS

Half Load: $75.00 per Stop Charge for Half Truckloads

Fuel: Fuel Surcharge will apply to each truckload ordered
Additional Notes:
Should be Empty: