Metz's Microgreens Order Form
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Amaranth
$3.00
$
3.00
Quantity
1
2
3
4
5
6
7
8
9
10
Size
1 oz
2 oz
4 oz
8 oz
1 Tray
Item subtotal:
$0.00
$
0.00
Broccoli
$2.00
$
2.00
Quantity
1
2
3
4
5
6
7
8
9
10
Size
1 oz
2 oz
4 oz
8 oz
1 Tray
Item subtotal:
$0.00
$
0.00
Kale
$2.00
$
2.00
Quantity
1
2
3
4
5
6
7
8
9
10
Size
1 oz
2 oz
4 oz
8 oz
1 Tray
Item subtotal:
$0.00
$
0.00
Peas
$3.00
$
3.00
Quantity
1
2
3
4
5
6
7
8
9
10
Size
1 oz
2 oz
4 oz
8 oz
1 Tray
Item subtotal:
$0.00
$
0.00
Radish
$2.00
$
2.00
Quantity
1
2
3
4
5
6
7
8
9
10
Extra
1 oz
2 oz
4 oz
8 oz
1 Tray
Item subtotal:
$0.00
$
0.00
Sunflowers
$2.00
$
2.00
Quantity
1
2
3
4
5
6
7
8
9
10
Options
1 oz
2 oz
4 oz
8 oz
1 Tray
Item subtotal:
$0.00
$
0.00
Name
First Name
Last Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Delivery Notes
Will this be Delivery or Pick-Up? (Delivery only available within 20 miles of Dunellen, NJ)
Delivery
Pick-Up
Pay with PayPal
Choose from one of the PayPal options to
make your payment.
Order
Should be Empty: