Scoop Order Form

Scoop Order Form
My Products
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Dried Apples 4.00 CHF per 100g
4.00 CHF 100s of grams

Dried Kiwi 5.00 CHF per 100g
5.00 CHF 100s of grams

Dried Plums 5.00 CHF per 100g
5.00 CHF 100s of grams

Dried Pears 4.00 CHF per 100g
4.00 CHF 100s of grams

Pumpkin Seeds 3.00 CHF per 100g
3.00 CHF 100s of grams

Chickpeas .60 CHF per 100g
0.60 CHF 100s of grams

Lentils .60 CHF per 100g
0.60 CHF 100s of grams

Flax Seeds 1.50 CHF per 100g
1.50 CHF 100s of grams

Total

0.00 CHF
When will you pick up your Scoop order?

Tuesday 12h-14h Wednesday 11h-13h Other
Customer Name

First Name Last Name
Phone Number
Email
example@example.com
Please come to the PCR on Tuesday from 12h- 14h or Wednesday 11h-13h (or on the day/time you indicated) to pay for and pick up your order.

Pick up: Picciotto Common Room

– Cash only (or TWINT)–

We encourage you to bring your reusable containers 🙂
Should be Empty:

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