Veg Box Registration Form
Customer Details:
Full Name
*
First Name
Last Name
Mobile Number
*
E-mail
example@example.com
Do you have a food allergy?
*
Please Select
No
Yes
If yes, please specify allergy type.
Weekly or bi-weekly box?
*
Weekly
Bi-weekly
Will you collect in person
*
Yes, it will be me.
No, I will nominate someone.
Choose box size and then option to pay weekly or 4 weekly.
*
Area where you live
*
Please Select
Kinghorn
Burntisland
Aberdour
Kirkcaldy
Rest of Fife
Glasgow
Address not required
Collection point preferred
*
Please Select
Kinghorn Market Garden
Kinghorn Community Centre
Aberdour - Post & Pantry
Kirkcaldy - The Kitchen Treasury
Glasgow - Econic Dennistoun
Can we add you to our members WhatsApp chat group?
*
Yes please
No thanks
Submit
Should be Empty: