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Product Order Form
Please send orders at least the morning before delivery date. Please keep in mind that trucks get loaded and workers head home to rest.
Saturday: Irvine
Full Name
First Name
Last Name
Contact Number
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Area Code
Phone Number
Delivery Address
*
Street Address
Street Address Line 2
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Special Instructions
Mark as desired
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Avocado
$
2.50
Quantity
Beets
$
2.50
U
Quantity
Type
Red
Golden
Bell Peppers
$
1.00
Quantity
Cabbage
$
3.00
Quantity
Green or Red?
Red
Green
Carrots
$
2.50
Quantity
Blueberries (1 3-pack)
$
12.00
Quantity
Cilantro
$
1.50
Quantity
Celery
$
3.00
O
Quantity
Broccoli
$
3.00
Quantity (lbs)
Grapefruit
$
1.50
Quantity
Garlic
$
5.00
Quantity (lbs)
Eggs
$
10.00
Quantity
Carton Size
1 Dozen
1 Flat of 30 Eggs
Item subtotal:
$
0.00
Kale
$
2.00
Quantity
Black, Curly
Curly
Black
Green Beans
$
3.00
Quantity (lbs)
Mint
$
2.00
Quantity (bunches)
Green Onion
$
1.50
Quantity
Parsley
$
1.50
Quantity
Zucchini
$
2.00
Quantity (lbs)
Romaine Lettuce
$
2.00
Quantity
Lemons
$
0.50
Quantity
Swiss Chard
$
2.00
Quantity
Potatoes
$
2.50
Quantity (lbs)
Type
Yukon
Red
Red Onion
$
2.00
Quantity (lbs)
Yellow Onion
$
2.00
Quantity (lbs)
Tomatoes
$
3.00
Quantity (lbs)
White Onion
$
2.00
Quantity (lbs)
Oranges
$
1.00
Quantity (lbs)
Butternut Squash
$
2.50
Quantity (lbs)
Corn
$
1.00
Quantity
Fuji Apples
$
2.50
Quantity (lbs)
Cantaloupe
$
3.00
Ginger, Turmeric, Lemon, Cayenne Pepper
Quantity
Collard Greens
$
2.00
Quantity (bunches)
Spinach
$
2.50
Quantity
Yams
$
2.50
Quantity
Cauliflower
$
3.00
Quantity
Cucumbers
$
2.50
Lbs Quantity
Orange blossom raw honey
$
12.00
1 lb
2 lb
Half gallon
3 lb
Total
$
0.00
Payment Options
If you would like to pay with cash, card, or check, you may do so when the delivery comes. If you would prefer to use Venmo, send your payment to Lupe Flores (username: @Lupeflores10)
SPECIAL REQUESTS
Which payment option will you use? We would appreciate if empty boxes were returned. Thank you
*
Cash, card, or check
Venmo
Submit Order
Should be Empty: