2025 Produce Order Form

Hello! This form is an order form for produce grown at Arlington Crest Farms. You have the ability to select your produce and pick-up options. Once complete, our farm will receive your order and will send you a follow up email. No payment information is required to fill out this form.

If you have any questions while filling out this form please contact Farmer Dan at arlingtoncrestfarms@gmail.com

Arlington Crest Farms

457 S Warren Ave

Palatine, IL, 60047

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

YesNo

My Products

Microgreens

Radish Mix

Packed in a 24 oz container (volume)

$7.00 Quantity

Spicy Mix

Packed in a 24 oz (volume) container

$7.00 Quantity

Broccoli Microgreens

Packed in a 24 oz (volume) container

$7.00 Quantity

Pea Shoots

Packed in a 24 oz container (volume)

$7.00 Quantity

Sunflower Shoots

Packed in a 24 oz container (volume)

$7.00 Quantity

Radish Mix Small

Packed in a 12 oz container (volume)

$4.00 Quantity

Spicy Mix Small

Packed in a 12 oz container (volume)

$4.00 Quantity

Pea Shoots Small

Packed in a 12 oz container (volume)

$4.00 Quantity

Sunflower Shoots Small

Packed in a 12 oz container (volume)

$4.00 Quantity

Enter coupon

Total

$0.00

Please select "Order Now!" below to submit your order. You will receive an email detailing your order summary and subtotal. You will also receive an email from Farmer Dan to confirm your order and delivery/pick-up.