Prepaid Store Credit Delivery Order Form

Prepaid 'Raw Dairy' Delivery Order Form
Fill out the form below.

Come to the Farm Store to prepay your dairy.

5 Easy Steps for Delivery:

1. Come. To the farm store and pay for a 'Dairy Credit'.

2. Prepay. You choose the amount. Note: A $10 delivery fee will need to be paid via credit card each time.

3. Reminder. Two days before delivery, we send a reminder email with ordering links.

4. Order. You have until noon the day before to order.

5. Deliver. We deliver to your door. Set out an ice chest.

✨FREE Delivery option!✨

Buy $1000 or more of store credit
My 'Dairy Credit' $ amount I want added to my account:*
(Tax will be added when you pay)
Select Delivery Area*
Please specify which day you will come to the farm store to purchase your store credit.
Appointment
Name*

First NameLast Name
Address- Use address where you would like to have your ordered delivered*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Agreement For Contract:

Due to KS state raw milk laws, I understand that I need to pay all raw dairy products on-farm. I agree to make this transaction in person at Borntrager Dairy.

KS state law states: '"On-farm retail sales of milk or milk products" means the sale of milk or milk products on the farm by the producer from the production of the dairy herd to the final consumer.' (KDA website)
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Prepaid 'Raw Dairy' Delivery Order Form