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Full Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
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Requested Date For Receiving Order (if it will be a market week, then please choose Saturday during spring/summer season)
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Month
-
Day
Year
Date
Order
Product Name
Product Variation/Option/Flavor/Size
Quantity
Order
Product Name
Product Variation/Option/Flavor/Size
Quantity
Order
Product Name
Product Variation/Option/Flavor/Size
Quantity
Details (requested pickup date, location [if not a market week], and if you need more on your order, add here)
Payment Type
*
Send invoice, I’ll pay by card
Send invoice; I’ll pay in cash at pickup (*orders under $20 only)
Order Agreement
By signing below, you acknowledge you are placing this order and expect to pay for services rendered. No goods will be produced until payment is received or pay-at-pickup requested. Cash at pickup is an encouraged option for orders under $20 and can be arranged via confirmation email. *If your cash-promised order is not picked up/paid for at agreed-upon date & time, it will be offered for sale with my remaining stock of market goods and you will be required to pre-pay for any future orders.*
Signature
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