Fruit Order Form

Fruits Available (Dozen = 12)
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Lemons
Meyer Lemons $5/dozen, $10/2-dozen

$4.00 Quantity
Item subtotal:$0.00

Total

$0.00
Name*
Full Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Pickup/Delivery*
Date For Pickup/Delivery*

MonthDayYear
Date
Time for Pickup/Delivery
Address (Only for Delivery)

Home Address

Street Address Line 2

CityState

Zip Code
Comments
Your Total:*
All item Total:
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